Individual
KENNETH GIRVAN SWAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
740 ROUTE 1 N, ISELIN, NJ 08830-2652
(732) 853-8610
(732) 885-3862
Mailing address
2 WORLDS FAIR DR, SOMERSET, NJ 08873-1369
(732) 504-3649
(732) 564-9032
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
25MA07516000
NJ
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
25MA07516000
NJ
Other
Enumeration date
11/30/2006
Last updated
06/14/2020
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