Individual
EGBERT L SWOBODA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 BROADWAY ST, BUFFALO, NY 14212-1845
(716) 891-7711
(716) 891-2032
Mailing address
3 PINEWOOD DR, ORCHARD PARK, NY 14127-4329
(716) 649-8857
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
123292-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00835401
—
NY
Enumeration date
12/22/2006
Last updated
07/08/2007
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