Provider Demographics
NPI:1306094776
Name:SWEARINGEN, BRUCE JOHN JR (MD)
Entity type:Individual
Prefix:
First Name:BRUCE
Middle Name:JOHN
Last Name:SWEARINGEN
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:6 RESEARCH DR STE 105
Mailing Address - Street 2:
Mailing Address - City:SHELTON
Mailing Address - State:CT
Mailing Address - Zip Code:06484-6228
Mailing Address - Country:US
Mailing Address - Phone:203-210-6340
Mailing Address - Fax:203-502-2615
Practice Address - Street 1:16 LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:PAWCATUCK
Practice Address - State:CT
Practice Address - Zip Code:06379-1856
Practice Address - Country:US
Practice Address - Phone:401-315-9575
Practice Address - Fax:401-915-9580
Is Sole Proprietor?:No
Enumeration Date:2008-08-28
Last Update Date:2023-08-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
RIMD194562086S0129X
CT700222086S0129X, 2086S0129X
KY442232086S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the Hand