Healthcare Provider Details

I. General information

NPI: 1972503597
Provider Name (Legal Business Name): ANNE P SWEDLUND MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2005
Last Update Date: 05/31/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

419 N HARRISON ST
PRINCETON NJ
08540
US

IV. Provider business mailing address

419 N HARRISON ST
PRINCETON NJ
08540-3521
US

V. Phone/Fax

Practice location:
  • Phone: 609-924-9300
  • Fax: 609-430-9481
Mailing address:
  • Phone: 609-924-9300
  • Fax: 609-924-9300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number25MA06114900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: