Provider Demographics
NPI:1053363929
Name:SWOTINSKY, ROBERT B (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:B
Last Name:SWOTINSKY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:21 RAYMOND RD
Mailing Address - Street 2:
Mailing Address - City:SUDBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01776-3444
Mailing Address - Country:US
Mailing Address - Phone:978-337-4479
Mailing Address - Fax:267-295-8542
Practice Address - Street 1:21 RAYMOND RD
Practice Address - Street 2:
Practice Address - City:SUDBURY
Practice Address - State:MA
Practice Address - Zip Code:01776-3444
Practice Address - Country:US
Practice Address - Phone:978-337-4479
Practice Address - Fax:267-295-8542
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2016-03-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA808082083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
042472266OtherPRIVATE HEALTHCARE SYSTEM
3175499OtherMEDICAID WELFARE
AA3718OtherHARVARD PILGRIM HEALTHCAR
0404414OtherEVERCARE
7994OtherFALLON COMMUNITY HEALTH P
J18587OtherBLUE SHIELD HMO BLUE
J18587OtherBLUE SHIELD INDEMNITY
042472266OtherHEALTHCARE VALUE MANAGEME
042472266OtherTHREE RIVERS
MA3175499Medicaid
7415967OtherCIGNA HEALTH PLAN
042472266OtherONE HEALTH PLAN
J18587OtherBLUE CARE ELECT
840000270OtherRAILROAD MEDICARE
1150379OtherFIRST HEALTH
7240364OtherAETNA US HEALTHCARE
A23313OtherMEDICARE B
784094OtherMVP HEALTH CARE
042472266OtherTHREE RIVERS
MAA23313Medicare ID - Type Unspecified