Provider Demographics
NPI:1467416586
Name:SWARTZ, NANCY G (MD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:G
Last Name:SWARTZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 E EVESHAM RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-4501
Mailing Address - Country:US
Mailing Address - Phone:856-772-2552
Mailing Address - Fax:856-772-1946
Practice Address - Street 1:2301 E EVESHAM RD
Practice Address - Street 2:SUITE 101
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-4501
Practice Address - Country:US
Practice Address - Phone:856-772-2552
Practice Address - Fax:856-772-1946
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2008-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05946600207W00000X
PAMD042963L207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1468148Medicaid
NJ6196209Medicaid
F09231OtherHEALTHNET
NJ474518OtherAETNA
PA468915OtherAETNA
F09231OtherHEALTHNET
PA468915OtherAETNA
NJ6196209Medicaid