John Shannon Swan in Boston - Diagnostic Radiology

John Shannon Swan - NPI 1306828769

John Shannon Swan is a Diagnostic Radiology in Boston, Massachusetts. John Shannon Swan practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for John Shannon Swan is 1306828769. The last update date is 2012-08-10.

John Shannon Swan's current location address is 55 Fruit Street, Boston, Massachusetts. You can contact this provider via phone number 6177267717 and fax number 6177265282. The mailing address for John Shannon Swan is 55 Fruit Street, Boston, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name John Shannon Swan
Address 55 Fruit Street, Boston, Massachusetts
Phone Number 6177267717
Fax Number 6177265282
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1306828769
Provider Enumeration Date 2005-11-18
Last Updated Date 2012-08-10

Provider Mailing Address Detail

Address 55 Fruit Street
City Boston
State Massachusetts (MA)
Post Code 21142696
Phone Number 6177267717
Fax Number 6177265282

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 219268
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
468534 MA TUFTS HEALTH PLAN
3149161 MA --
J26681 MA BCBS MA

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FAQs about John Shannon Swan

What is the unique 10-digit identifier code issued to John Shannon Swan by the Centers for Medicare & Medicaid Services?

The John Shannon Swan has been assigned the NPI (National Provider Identifier) 1306828769 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Where is the John Shannon Swan located?

The John Shannon Swan is located at 55 Fruit Street, Boston, MA 21142696.

What is John Shannon Swan's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The John Shannon Swan's specialized field of practice is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of specialization is 2085R0202X.

On what date was the 1306828769 assigned to John Shannon Swan?

The John Shannon Swan was issued its 1306828769 on 2005-11-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to John Shannon Swan most recently updated or revised?

The details related to John Shannon Swan, including its address, specialty, and other relevant information, were last updated or revised on 2012-08-10.

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