Provider Demographics
NPI:1720675432
Name:SWEENEY, JOHN DAVID (MS)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:DAVID
Last Name:SWEENEY
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3865 ADLER PL
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-9000
Mailing Address - Country:US
Mailing Address - Phone:570-540-1205
Mailing Address - Fax:
Practice Address - Street 1:3865 ADLER PL
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-9000
Practice Address - Country:US
Practice Address - Phone:570-540-1205
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-29
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist