Individual
DR. MARC T SWOGGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
UNIVERSITY OF ROCHESTER MEDICAL CTR, 300 CRITTENDEN BLVD., ROCHESTER, NY 14642-0001
(585) 275-7418
(585) 273-1117
Mailing address
601 ELMWOOD AVE, BOX: PSYCH, ROCHESTER, NY 14642-0001
(585) 275-7418
(585) 276-0161
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
017412-1
NY
103TC0700X
Clinical Psychologist
Primary
0174121
NY
103TC0700X
Clinical Psychologist
174121
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03166387
—
NY
Enumeration date
07/13/2009
Last updated
07/05/2023
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