Individual
MR. DOUGLAS MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPNP
Contact information
Practice address
46 ALBION ST., BRIDGEPORT, CT 06605
(203) 330-6000
Mailing address
46 ALBION ST., BRIDGEPORT, CT 06605
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
20141527
MA
Other
Enumeration date
07/10/2014
Last updated
07/10/2014
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