Provider Demographics
NPI:1962662569
Name:SWANSON-APOLLON, JOCELYN (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:JOCELYN
Middle Name:
Last Name:SWANSON-APOLLON
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:826 WASHINGTON RD
Mailing Address - Street 2:SUITE 110A
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157-5750
Mailing Address - Country:US
Mailing Address - Phone:410-751-7480
Mailing Address - Fax:410-751-7482
Practice Address - Street 1:826 WASHINGTON RD
Practice Address - Street 2:SUITE 110A
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-5750
Practice Address - Country:US
Practice Address - Phone:410-751-7480
Practice Address - Fax:410-751-7482
Is Sole Proprietor?:No
Enumeration Date:2008-06-17
Last Update Date:2013-03-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD00373842083P0500X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice