Individual
DR. EDWARD JOSEPH SWANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1447 YORK RD STE 506, LUTHERVILLE, MD 21093-6022
(410) 825-2281
(410) 825-2280
Mailing address
11627 FEDERAL ST, FULTON, MD 20759-2664
(410) 507-7257
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD31098
DC
2084P0805X
Geriatric Psychiatry Physician
Primary
D0068625
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020221501
—
MD
05
—
080287500
—
DC
01
—
151796ZQZ6
MEDICARE
DC
01
—
228735ZQYE
MEDICARE
MD
Enumeration date
12/21/2006
Last updated
08/27/2021
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