Individual
PAUL B SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
826 MAIN ST, SUITE 201, PHOENIXVILLE, PA 19460-4459
(610) 415-1100
(610) 415-1101
Mailing address
826 MAIN ST, SUITE 201, PHOENIXVILLE, PA 19460-4459
(610) 415-1100
(610) 415-1101
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD071542L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220324YEXC
MEDICARE PTAN
PA
Enumeration date
10/06/2006
Last updated
03/09/2022
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