Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | MD068265L | PA |
NPI | 1033138219 |
---|---|
Provider Name | Ramona Faith Swaby |
First Address | Philadelphia, PA 19111-2434 |
Second Address | Philadelphia, PA 19111-2434 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 08/03/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1010815700001 | (05) | PA |
H74001 | (02) | PA |