Provider Demographics
NPI:1013202928
Name:SZWEDO, MARION ELIZABETH (MD)
Entity Type:Individual
Prefix:
First Name:MARION
Middle Name:ELIZABETH
Last Name:SZWEDO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARION
Other - Middle Name:ELIZABETH
Other - Last Name:MOORMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1011 E JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22902-5354
Mailing Address - Country:US
Mailing Address - Phone:434-296-9161
Mailing Address - Fax:434-977-6068
Practice Address - Street 1:1011 E JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22902-5354
Practice Address - Country:US
Practice Address - Phone:434-296-9161
Practice Address - Fax:434-977-6068
Is Sole Proprietor?:No
Enumeration Date:2011-06-20
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCMMD.33612 LL208000000X
VA0101255982208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics