Mccoach, Kevin J

Mccoach, Kevin J is an individual health care provider with primary practice located at 62 S Fullerton Ave , Montclair NJ 07042-2676. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Mccoach, Kevin J can be contacted via phone (973) 746-8585.

Contact Information

Primary practice address
62 S Fullerton Ave Montclair NJ 07042-2676
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 103702 New Jersey
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 103702 New Jersey

Profile Details

NPI number 1366444002
LBN Legal business name Mccoach, Kevin J
Credentials MD FACC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Jun 25th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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