Individual
DR. PETER DEMOTT SWIFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 COLCHESTER AVE, DEPARTMENT OF RADIATION ONCOLOGY, BURLINGTON, VT 05401-1473
(802) 847-3506
(802) 847-2753
Mailing address
111 COLCHESTER AVE, DEPARTMENT OF RADIATION ONCOLOGY, BURLINGTON, VT 05401-1473
(802) 847-3506
(802) 847-2753
Taxonomy
Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
Primary
042-0007096
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0004566
—
VT
01
—
157946
CIGNA
VT
01
—
4566
BCBS
VT
Enumeration date
08/04/2006
Last updated
07/08/2007
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