Individual
JOHN PAUL SWIDRYK SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
403 RIVER RD, FAIR HAVEN, NJ 07704-3029
(732) 842-6727
(732) 842-7901
Mailing address
403 RIVER RD, FAIR HAVEN, NJ 07704-3029
(732) 842-6727
(732) 842-7901
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29119
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FO6654
HEALTHNET INS CO
—
Enumeration date
11/18/2005
Last updated
09/16/2022
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