Healthcare Provider Details

I. General information

NPI: 1013043116
Provider Name (Legal Business Name): ANN MARIE SWORDS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 02/05/2021
Certification Date: 02/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1205 LANGHORNE NEWTOWN RD STE 106
LANGHORNE PA
19047-1220
US

IV. Provider business mailing address

233 PAXSON LN
LANGHORNE PA
19047-8216
US

V. Phone/Fax

Practice location:
  • Phone: 215-750-7442
  • Fax:
Mailing address:
  • Phone: 215-702-1559
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMA001449L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberMA001449L
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberMA001449L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: