Provider Demographics
NPI:1730190604
Name:SWIFT CROFT, CINDI (DO)
Entity type:Individual
Prefix:DR
First Name:CINDI
Middle Name:
Last Name:SWIFT CROFT
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:CINDI
Other - Middle Name:
Other - Last Name:CROFT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:PO BOX 105
Mailing Address - Street 2:
Mailing Address - City:BRADFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03221-0105
Mailing Address - Country:US
Mailing Address - Phone:603-275-9585
Mailing Address - Fax:877-748-5752
Practice Address - Street 1:514 SOUTH ST
Practice Address - Street 2:
Practice Address - City:BOW
Practice Address - State:NH
Practice Address - Zip Code:03304-3419
Practice Address - Country:US
Practice Address - Phone:603-275-9585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH13128207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H22659Medicare UPIN