Provider Demographics
NPI:1942231279
Name:SWARTZ, JOEL D (MD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:D
Last Name:SWARTZ
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 1:1210 PAGE TER
Mailing Address - Street 2:
Mailing Address - City:VILLANOVA
Mailing Address - State:PA
Mailing Address - Zip Code:19085-2132
Mailing Address - Country:US
Mailing Address - Phone:215-540-1897
Mailing Address - Fax:215-540-8843
Practice Address - Street 1:1210 PAGE TER
Practice Address - Street 2:
Practice Address - City:VILLANOVA
Practice Address - State:PA
Practice Address - Zip Code:19085-2132
Practice Address - Country:US
Practice Address - Phone:215-540-1897
Practice Address - Fax:215-540-8843
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA046863002085N0700X
PAMD023322E2085R0202X
MDD00508902085R0202X
IL0361075192085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3664601Medicaid
PASW413484OtherBCBS PA
NJC33656Medicare UPIN
ILL96844Medicare PIN
MD046M829EMedicare PIN
PASW413484OtherBCBS PA
NJ3664601Medicaid
MD349M479FMedicare PIN