Basic Information
| Provider Information | |||||||||
| NPI: | 1891189254 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SWIFT | ||||||||
| FirstName: | DAVID | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 30 ARMSTRONG RD | ||||||||
| Address2: | |||||||||
| City: | ENFIELD | ||||||||
| State: | CT | ||||||||
| PostalCode: | 060822709 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8608033121 | ||||||||
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| Practice Location | |||||||||
| Address1: | 28 CENTRE DR | ||||||||
| Address2: | MAILSTOP 416SA1 | ||||||||
| City: | MILTON | ||||||||
| State: | VT | ||||||||
| PostalCode: | 05468 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8028472700 | ||||||||
| FaxNumber: | 8028470386 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/24/2015 | ||||||||
| LastUpdateDate: | 09/05/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207Q00000X | 042.0014174 | VT | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.