Provider Demographics
NPI:1508864984
Name:SWERDLOW, FREDERICK HARRIS (MD)
Entity Type:Individual
Prefix:
First Name:FREDERICK
Middle Name:HARRIS
Last Name:SWERDLOW
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 1:7297 HORIZON DR
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33412-3027
Mailing Address - Country:US
Mailing Address - Phone:516-652-7010
Mailing Address - Fax:
Practice Address - Street 1:7297 HORIZON DR
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33412-3027
Practice Address - Country:US
Practice Address - Phone:516-652-7010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-11
Last Update Date:2014-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 122209207RR0500X
NY109694207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB20672Medicare UPIN