MEDICARE: DR. HAROLD EDWARD SWENSEN 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
1	207X00000X	Orthopaedic Surgery Physician	MD026949L	PA

General Provider Information

NPI Number	:	1801057211
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HAROLD EDWARD SWENSEN M.D.

Provider Business Mailing Address
First Line	:	11 OLD TIMBER TRL
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15238-2113
Country	:	US
Telephone Number	:	412-963-6739
Fax Number	:	412-963-0973

Provider Business Practice Location Address
First Line	:	11 OLD TIMBER TRL
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15238-2113
Country	:	US
Telephone Number	:	412-963-6739
Fax Number	:	412-963-0973

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2008
Last Update Date	:	06/18/2008

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