Healthcare Provider Details

I. General information

NPI: 1922193762
Provider Name (Legal Business Name): DANIEL PAUL SWINEFORD DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 05/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

184 W CENTRAL ST
FRANKLIN MA
02038
US

IV. Provider business mailing address

160 WEST ST
MILFORD MA
01757-2200
US

V. Phone/Fax

Practice location:
  • Phone: 508-528-2525
  • Fax: 508-520-8901
Mailing address:
  • Phone: 508-473-2273
  • Fax: 508-473-2275

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberSC004636L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: