Basic Information
Provider Information
NPI: 1801241427
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SWARTZ
FirstName: MARGOT
MiddleName: MOSIER
NamePrefix:  
NameSuffix:  
Credential: PA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: MARGOT MOSIER SWARTZ
Address2: 7225 HIGHBURRY DR.
City: INDIANAPOLIS
State: IN
PostalCode: 462562318
CountryCode: US
TelephoneNumber: 3176963836
FaxNumber:  
Practice Location
Address1: CHATHAM PEDIATRICS
Address2: 2 SHERMAN POTTS DR. SUITE 203
City: GHENT
State: NY
PostalCode: 12075
CountryCode: US
TelephoneNumber: 5183922277
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/02/2016
LastUpdateDate: 07/12/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363A00000X10001999AINY Physician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant 

No ID Information.


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