Individual
ZENON MICHAEL SWITENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1104 ROUTE 130 N STE K, CINNAMINSON, NJ 08077-3032
(856) 786-8010
(856) 786-0529
Mailing address
500 GROVE ST, SUITE 100, HADDON HEIGHTS, NJ 08035-1702
(856) 796-9200
(856) 310-5603
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25MB05516700
NJ
208D00000X
General Practice Physician
Primary
25MB05516700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5110408
—
NJ
Enumeration date
09/28/2006
Last updated
10/19/2020
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