MEDICARE: HF SWAN MD PC

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	207N00000X	Dermatology Physician	0101024189	VA

General Provider Information

NPI Number	:	1831281153
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HF SWAN MD PC

Provider Business Mailing Address
First Line	:	2616 SHERWOOD HALL LANE
Second Line	:	SUITE 306
City	:	ALEXANDRIA
State	:	VA
Zip	:	22306-3154
Country	:	US
Telephone Number	:	703-780-8400
Fax Number	:

Provider Business Practice Location Address
First Line	:	2616 SHERWOOD HALL LANE
Second Line	:	SUITE 306
City	:	ALEXANDRIA
State	:	VA
Zip	:	22306-3154
Country	:	US
Telephone Number	:	703-780-8400
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	HARVEY F SWAN
Credential	:	MD
Telephone Number	:	703-780-8400

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	10/23/2007

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