Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213ES0103X | Foot & Ankle Surgery | 0103300989 | VA |
Y | 213ES0103X | Foot & Ankle Surgery | 01465 | MD |
N | 213ES0103X | Foot & Ankle Surgery | PO1000061 | DC |
NPI | 1003891870 |
---|---|
Provider Name | Dr. Timothy Donald Swartz |
First Address | Rockville, MD 20852-4908 |
Second Address | Kensington, MD 20895-2138 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2005 |
Last Update Date | 27/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1010377140001 | (05) | PA |
1010377140002 | (05) | PA |
1010377140003 | (05) | PA |
1010377140004 | (05) | PA |
V00289 | (02) |