MEDICARE: MARY K SWEET MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	G88688	CA

General Provider Information

NPI Number	:	1568431617
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY K SWEET MD

Provider Business Mailing Address
First Line	:	100 WILSON RD STE 100
Second Line	:
City	:	MONTEREY
State	:	CA
Zip	:	93940-7885
Country	:	US
Telephone Number	:	831-649-1000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1513 FREMONT BLVD # E1
Second Line	:
City	:	SEASIDE
State	:	CA
Zip	:	93955-4319
Country	:	US
Telephone Number	:	831-899-1910
Fax Number	:	831-393-9480

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	01/04/2024

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