Provider Demographics
NPI:1528387065
Name:SWIATKOWSKI, JANUSZ HENRYK (MD)
Entity Type:Individual
Prefix:
First Name:JANUSZ
Middle Name:HENRYK
Last Name:SWIATKOWSKI
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 1:8822 INDIAN RIVER RUN
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33472-2444
Mailing Address - Country:US
Mailing Address - Phone:561-292-3365
Mailing Address - Fax:
Practice Address - Street 1:415 S FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-4931
Practice Address - Country:US
Practice Address - Phone:954-487-1224
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-24
Last Update Date:2018-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2088572084A0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine