Organization
ELITE MEDICAL ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RONALD MCCOY MD (OWNER)
(215) 991-9006
Entity
Organization
Contact information
Practice address
2020 PENROSE AVE STE A1, PHILADELPHIA, PA 19145-5763
(215) 517-5050
(215) 517-4105
Mailing address
2020 PENROSE AVE STE A1, PHILADELPHIA, PA 19145-5763
(215) 517-5050
(215) 517-4105
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD067085L
PA
Other
Enumeration date
06/29/2017
Last updated
07/21/2022
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