Provider Demographics
NPI:1215971502
Name:SWINGER, ALAN B (DO)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:B
Last Name:SWINGER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:760 MCGUIRE PL
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-1630
Mailing Address - Country:US
Mailing Address - Phone:757-591-2260
Mailing Address - Fax:
Practice Address - Street 1:760 MCGUIRE PL
Practice Address - Street 2:1ST FLOOR
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23601-1630
Practice Address - Country:US
Practice Address - Phone:757-591-2260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2017-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB07292300207L00000X
PAOS006492L207L00000X
NY185194-1207L00000X
VA0102204824207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology