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Dr. John Shannon Swan, MD
Diagnostic Radiology Physician in Boston, Massachusetts
NPI 1306828769

John Shannon Swan is a Diagnostic Radiology Physician based in Charlestown, MA and is specialized in Diagnostic Radiology. John Shannon Swan practices in Boston, MA and has the professional credentials of MD. The NPI Number for John Shannon Swan is 1306828769 and holds a License No. 219268 (Massachusetts).

The current practice location address for John Shannon Swan is 55 Fruit Street, Boston, MA and can be reached out via phone at 617-726-7717 and via fax at 617-726-5282.

Location: 55 Fruit Street, Boston, MA, 02129-9142
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Provider Profile Details
NPI Number
1306828769
Provider Name
John Shannon Swan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
55 Fruit Street, Boston, MA, 02129-9142
Phone Number
617-726-7717
Fax Number
617-726-5282
Provider Enumeration Date
11/18/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
468534 01 MA TUFTS HEALTH PLAN
3149161 05 MA
J26681 01 MA BCBS MA
institution
Provider Business Practice Location Address Details
Address
55 Fruit Street
City
State
Zip
02114-2696
Phone Number
617-726-7717
Fax Number
617-726-5282
person
Provider Business Mailing Address Details
Address
55 Fruit Street
City
State
Zip
02114-2696
Phone Number
617-726-7717
Fax Number
617-726-5282
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
219268 (Massachusetts)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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