Healthcare Provider Details

I. General information

NPI: 1013202928
Provider Name (Legal Business Name): MARION ELIZABETH SZWEDO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARION ELIZABETH MOORMAN M.D.

II. Dates (important events)

Enumeration Date: 06/20/2011
Last Update Date: 08/11/2023
Certification Date: 08/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1011 E JEFFERSON ST
CHARLOTTESVILLE VA
22902-5354
US

IV. Provider business mailing address

1011 E JEFFERSON ST
CHARLOTTESVILLE VA
22902-5354
US

V. Phone/Fax

Practice location:
  • Phone: 434-296-9161
  • Fax: 434-977-6068
Mailing address:
  • Phone: 434-296-9161
  • Fax: 434-977-6068

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMMD.33612 LL
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0101255982
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: