Provider Demographics
NPI:1972503597
Name:SWEDLUND, ANNE P (MD)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:P
Last Name:SWEDLUND
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 1:419 N HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-3521
Mailing Address - Country:US
Mailing Address - Phone:609-924-9300
Mailing Address - Fax:609-924-9300
Practice Address - Street 1:419 N HARRISON ST
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540
Practice Address - Country:US
Practice Address - Phone:609-924-9300
Practice Address - Fax:609-430-9481
Is Sole Proprietor?:No
Enumeration Date:2005-07-26
Last Update Date:2018-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06114900207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
5018970012OtherCIGNA
00795866OtherINDEPENDENCE BLUE CROSS
0821011000OtherKEYSTONE
2219766OtherAETNA
0220972000OtherAMERIHEALTH HMO
110199764OtherRAILROAD MEDICARE
NJ7821808Medicaid
0000259236OtherAMERIHEALTH PERS. CHOICE
000795866OtherPERSONAL CHOICE
110199764OtherRAILROAD MEDICARE
B83656Medicare UPIN