MEDICARE: MARGOT MOSIER SWARTZ PA

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	363A00000X	Physician Assistant	10001999A	IN

General Provider Information

NPI Number	:	1801241427
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGOT MOSIER SWARTZ PA

Provider Business Mailing Address
First Line	:	MARGOT MOSIER SWARTZ
Second Line	:	7225 HIGHBURRY DR.
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46256-2318
Country	:	US
Telephone Number	:	317-696-3836
Fax Number	:

Provider Business Practice Location Address
First Line	:	CHATHAM PEDIATRICS
Second Line	:	2 SHERMAN POTTS DR. SUITE 203
City	:	GHENT
State	:	NY
Zip	:	12075
Country	:	US
Telephone Number	:	518-392-2277
Fax Number	:

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

Provider Enumeration Date	:	05/02/2016
Last Update Date	:	07/12/2019

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