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Individual
CHARLES E MCCOY
Active
Individual
CHARLES E MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
54730
MA
207RN0300X
Nephrology Physician
Primary
7312
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000003716
BOSTON MEDICAL
MA
01
—
054730
TUFTS
—
01
—
10015RIH
HARVARD PILGRIM
—
05
—
110047054B
—
MA
01
—
1220212002
CIGNA
—
01
—
1487
NEIGHBORHOOD
—
01
—
201149
BLUE CHIP
RI
01
—
3085902
MA WELFARE
—
01
—
3100113
UNITED
—
01
—
390001779
RAILROAD MEDICARE
—
05
—
7000736
—
RI
01
—
7312
BLUE CROSS
RI
01
—
J08648
BLUE CROSS
MA
Enumeration date
11/29/2005
Last updated
10/29/2009
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