Provider Demographics
NPI:1518164953
Name:SWABY, MILTON EDUARDO (MD)
Entity Type:Individual
Prefix:DR
First Name:MILTON
Middle Name:EDUARDO
Last Name:SWABY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:380 SUMMIT AVE
Mailing Address - Street 2:TRINITY FAMILY CARE CENTERS
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43952-2667
Mailing Address - Country:US
Mailing Address - Phone:740-283-7776
Mailing Address - Fax:740-283-7190
Practice Address - Street 1:380 SUMMIT AVE FL 5
Practice Address - Street 2:
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-2667
Practice Address - Country:US
Practice Address - Phone:740-283-7050
Practice Address - Fax:740-283-7367
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35090853208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2063145Medicaid