Mccoy, Mary Ellen M.

Mccoy, Mary Ellen M. is an individual health care provider with primary practice located at 61 Lacey Rd , Whiting NJ 08759-4439. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Mccoy, Mary Ellen M. can be contacted via phone (732) 350-2424.

Contact Information

Primary practice address
61 Lacey Rd Whiting NJ 08759-4439
Phone: (732) 350-2424
Fax: (732) 350-2444
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 25MD00174700 New Jersey

Profile Details

NPI number 1265415855
LBN Legal business name Mccoy, Mary Ellen M.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
Last updated Sep 21st, 2017 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1265415855 NPPES
New Jersey MEDICAID 0774901

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