Individual
IRENE QUIAMBAO PERMUT SWIFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4745 OGLETOWN-STANTON ROAD, MAP 1, SUITE 220, NEWARK, DE 19713-2074
(302) 368-5515
(302) 325-7056
Mailing address
200 HYGEIA DRIVE, CCHS PHYSICIAN CONTRACTING, SUITE 2300, NEWARK, DE 19713-2049
(856) 429-1800
(856) 429-1081
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
25MA09531200
NJ
207RP1001X
Pulmonary Disease Physician
25MA09531200
NJ
207RP1001X
Pulmonary Disease Physician
Primary
C1-0011513
DE
207RS0012X
Sleep Medicine (Internal Medicine) Physician
25MA09531200
NJ
Other
Enumeration date
07/09/2008
Last updated
12/23/2015
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