Provider Demographics
NPI:1275796120
Name:SWIFT, IRENE QUIAMBAO PERMUT (MD)
Entity Type:Individual
Prefix:
First Name:IRENE
Middle Name:QUIAMBAO PERMUT
Last Name:SWIFT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:IRENE
Other - Middle Name:
Other - Last Name:QUIAMBAO PERMUT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 HYGEIA DRIVE
Mailing Address - Street 2:CCHS PHYSICIAN CONTRACTING, SUITE 2300
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2049
Mailing Address - Country:US
Mailing Address - Phone:856-429-1800
Mailing Address - Fax:856-429-1081
Practice Address - Street 1:4745 OGLETOWN-STANTON ROAD
Practice Address - Street 2:MAP 1, SUITE 220
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-2074
Practice Address - Country:US
Practice Address - Phone:302-368-5515
Practice Address - Fax:302-325-7056
Is Sole Proprietor?:No
Enumeration Date:2008-07-09
Last Update Date:2015-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09531200207RP1001X, 207RC0200X, 207RS0012X
DEC1-0011513207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine