Provider Demographics
NPI:1336302850
Name:SWINGLE, CHRISTINE (PA - C)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:
Last Name:SWINGLE
Suffix:
Gender:F
Credentials:PA - C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 STUYVESANT AVE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-6936
Mailing Address - Country:US
Mailing Address - Phone:908-364-6600
Mailing Address - Fax:908-964-5893
Practice Address - Street 1:900 STUYVESANT AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-6936
Practice Address - Country:US
Practice Address - Phone:908-364-6600
Practice Address - Fax:908-964-5893
Is Sole Proprietor?:No
Enumeration Date:2008-07-03
Last Update Date:2013-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MP00199400363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical