Individual
DR. GREGORY CLARK SWISTAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
60 MARKET ST, 215, GAITHERSBURG, MD 20878-6548
(301) 963-8333
(301) 963-9330
Mailing address
187 CHEVY CHASE ST, GAITHERSBURG, MD 20878-6466
(301) 518-2622
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S01873
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10435522
CAQH
MD
01
—
1ST HEALTH
P3449828
MD
01
—
224657
KAISER/ACN
MD
01
—
3638973
AETNA HMO
MD
01
—
606996-02189B
BCBS
MD
01
—
624464
MAMSI
MD
01
—
7662053
AETNA PPO
MD
01
—
J9770001
BCBS
DC
Enumeration date
10/26/2006
Last updated
07/08/2007
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