Provider Demographics
NPI:1790219988
Name:SWC FAMILY CARE
Entity type:Organization
Organization Name:SWC FAMILY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:M
Authorized Official - Last Name:BORJA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:610-779-4588
Mailing Address - Street 1:3933 PERKIOMEN AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19606-2756
Mailing Address - Country:US
Mailing Address - Phone:610-779-4588
Mailing Address - Fax:
Practice Address - Street 1:3933 PERKIOMEN AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19606-2756
Practice Address - Country:US
Practice Address - Phone:610-779-4588
Practice Address - Fax:610-779-8040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-14
Last Update Date:2017-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAUP006288B363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty