# MICHAEL R MCCOY MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Germantown Medical Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285858381
- **Authorized official:** DAWN MCCOY (PRACTICE MANAGER)
- **Authorized official phone:** (215) 991-9006

## Contact information

- **Practice address:** 5555 GERMANTOWN AVE, PHILADELPHIA, PA 19144
- **Practice address phone:** (215) 991-9006
- **Practice address fax:** (215) 991-0145
- **Mailing address:** 5555 GERMANTOWN AVE, PHILADELPHIA, PA 19144
- **Mailing address phone:** (215) 991-9006
- **Mailing address fax:** (215) 991-0145

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD067085L | PA | Yes |
| 261Q00000X | Clinic/Center | MD067085L | PA | — |

## Other

- **Enumeration date:** 04/12/2007
- **Last updated:** 07/25/2008