Provider Demographics
NPI:1033435011
Name:JOHNSON, SWATI ALETI (DO)
Entity Type:Individual
Prefix:DR
First Name:SWATI
Middle Name:ALETI
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:1000 HADDONFIELD BERLIN RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-3520
Mailing Address - Country:US
Mailing Address - Phone:856-782-2212
Mailing Address - Fax:856-782-2266
Practice Address - Street 1:1000 HADDONFIELD BERLIN RD
Practice Address - Street 2:SUITE 210
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-3520
Practice Address - Country:US
Practice Address - Phone:856-782-2212
Practice Address - Fax:856-782-2266
Is Sole Proprietor?:No
Enumeration Date:2010-04-15
Last Update Date:2015-03-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MB087652002080N0001X
NY2462352080N0001X
TXP44092080N0001X
CT538752080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine