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NPI Code Detail

MEDICARE: DR. MARGIE CAMPBELL SWEENEY M.D.

MEDICARE: DR. MARGIE CAMPBELL SWEENEY M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207QB0002XObesity Medicine (Family Medicine) PhysicianME100602FL
2207Q00000XFamily Medicine PhysicianME100602FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PTAN BQ356ZOTHERFLMEDICARE

General Provider Information

NPI Number : 1275584724
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARGIE CAMPBELL SWEENEY M.D.
Provider Business Mailing Address
First Line : 1180 NEWFIELD AVE
Second Line :
City : STAMFORD
State : CT
Zip : 06905-1409
Country : US
Telephone Number : 314-888-5233
Fax Number :
Provider Business Practice Location Address
First Line : 1180 NEWFIELD AVE
Second Line :
City : STAMFORD
State : CT
Zip : 06905-1409
Country : US
Telephone Number : 314-888-5233
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2006
Last Update Date : 06/08/2023

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