MEDICARE: DR. DAVID JOSEPH SWANEKAMP DC

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	111N00000X	Chiropractor	38MC00334600	NJ
2	111N00000X	Chiropractor	X0048661	NY

General Provider Information

NPI Number	:	1679638241
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID JOSEPH SWANEKAMP DC

Provider Business Mailing Address
First Line	:	1005 WASHINGTON BLVD
Second Line	:
City	:	ROBBINSVILLE
State	:	NJ
Zip	:	08691-3119
Country	:	US
Telephone Number	:	609-426-1700
Fax Number	:	609-426-0099

Provider Business Practice Location Address
First Line	:	1005 WASHINGTON BLVD
Second Line	:
City	:	ROBBINSVILLE
State	:	NJ
Zip	:	08691-3119
Country	:	US
Telephone Number	:	609-426-1700
Fax Number	:	609-426-0099

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

Provider Enumeration Date	:	12/26/2006
Last Update Date	:	07/08/2007

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