Provider Demographics
NPI:1932336062
Name:SWORDS, SUSAN (MD)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:
Last Name:SWORDS
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 1:141 LONGWATER DR
Mailing Address - Street 2:
Mailing Address - City:NORWELL
Mailing Address - State:MA
Mailing Address - Zip Code:02061-1632
Mailing Address - Country:US
Mailing Address - Phone:781-878-5200
Mailing Address - Fax:
Practice Address - Street 1:143 LONGWATER DR
Practice Address - Street 2:
Practice Address - City:NORWELL
Practice Address - State:MA
Practice Address - Zip Code:02061-1683
Practice Address - Country:US
Practice Address - Phone:781-878-5200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-16
Last Update Date:2014-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA253519207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1932336062Medicaid
042297845OtherGIC/UNICARE
042297845OtherHCVM/FIRST HEALTH
1932336062OtherFALLON
9310966OtherAETNA
042297845OtherMULTI-PLAN-PHCS
2920579OtherCIGNA
855825OtherTUFTS AND TMP
MAJ50944OtherBCBSMA
042297845OtherUNITED HEALTH CARE
1932336062OtherNHP
AA309327OtherHARVARD PILGRIM
042297845OtherTRICARE
93060402OtherNETWORK HEALTH
042297845OtherUNITED HEALTH CARE