Individual
ALEXANDER M SWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1030 SAINT GEORGES AVE STE LL-1, AVENEL, NJ 07001-1390
(732) 750-5555
(732) 750-5550
Mailing address
1030 SAINT GEORGES AVE STE LL-1, AVENEL, NJ 07001-1390
(732) 750-5555
(732) 750-5550
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
25MA06815000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8974004
—
NJ
Enumeration date
03/09/2006
Last updated
10/01/2014
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