Individual
DR. JOHN RICHARD SWEENEY II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2453 PRUDEN BLVD, SUFFOLK, VA 23434-4235
(757) 539-7771
(757) 539-4360
Mailing address
111 RIVERSIDE DRIVE, SUFFOLK, VA 23435
(757) 638-3780
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
0101031033
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6009476
—
VA
Enumeration date
05/31/2005
Last updated
10/22/2007
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