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Organization
MARY ELLEN MCCOY, DPM
Active
Organization
MARY ELLEN MCCOY, DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARYELLEN MCCOY D.P.M. (DOCTOR)
(732) 350-7465
Entity
Organization
Contact information
Practice address
65-H LACEY ROAD, WHITING, NJ 08759
(732) 350-7465
(732) 350-7105
Mailing address
65-H LACEY ROAD, WHITING, NJ 08759
(732) 350-7465
(732) 350-7105
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
MD01747
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0102229000
AMERIHEALTH
NJ
05
—
0774901
—
NJ
Enumeration date
11/24/2006
Last updated
06/21/2018
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