Organization
JOHN R. SWEENEY, JR., M.D. PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN R. SWEENEY JR. M.D. (OWNER)
(757) 539-7771
Entity
Organization
Contact information
Practice address
2453 PRUDEN BLVD, SUFFOLK, VA 23434-4235
(757) 539-7771
(757) 539-4360
Mailing address
PO BOX 631982, BALTIMORE, MD 21263-1982
(757) 668-7200
(757) 668-9691
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
07/13/2006
Last updated
01/31/2008
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