Organization
SWISTAK CHIROPRACTIC PC
Active
Other names
Active Family Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY CLARK SWISTAK DC (PRESIDENT)
(301) 963-8333
Entity
Organization
Contact information
Practice address
60 MARKET ST, 215, GAITHERSBURG, MD 20878-6548
(301) 963-8333
(301) 963-9330
Mailing address
60 MARKET ST, 215, GAITHERSBURG, MD 20878-6548
(301) 963-8333
(301) 963-9330
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S01873
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
224657
KAISER
MD
01
—
3449828
1ST HEALTH
MD
01
—
3638973
AETNA HMO
MD
01
—
606996-02
BCBSMD
MD
01
—
7662053
AETNA PPO
MD
01
—
9770001
BCBS FED
DC
01
—
FIRST HEALTH
5544592
MD
Enumeration date
11/20/2006
Last updated
08/22/2020
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