Organization
SWAE SKIN LLC
Active
Other names
Swae Skin Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA MCGEVNA MD (OWNER)
(802) 864-9522
Entity
Organization
Contact information
Practice address
30 FARRELL ST STE 200, SOUTH BURLINGTON, VT 05403-6395
(802) 310-0520
Mailing address
30 FARRELL ST STE 200, SOUTH BURLINGTON, VT 05403-6395
(802) 864-9522
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
07/08/2022
Last updated
12/09/2022
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