Healthcare Provider Details

I. General information

NPI: 1306825286
Provider Name (Legal Business Name): DENISE MARY SWIDWA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/10/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1704 PITTSBURGH ST
CHESWICK PA
15024-1526
US

IV. Provider business mailing address

715 BLUE RIDGE RD
PITTSBURGH PA
15239-2802
US

V. Phone/Fax

Practice location:
  • Phone: 724-274-4320
  • Fax: 724-274-4332
Mailing address:
  • Phone: 724-274-4320
  • Fax: 724-274-4332

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberMD021100E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: