Individual
DR. THOMAS KEVIN SWOBODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
33-57 HARRISON ST, JOHNSON CITY, NY 13790-2107
(607) 763-6412
(607) 763-5854
Mailing address
346 GRAND AVE, JOHNSON CITY, NY 13790-2580
(607) 763-6412
(607) 763-5854
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
15221R
LA
207P00000X
Emergency Medicine Physician
Primary
213528
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1162175
—
LA
Enumeration date
07/09/2006
Last updated
07/10/2014
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