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Individual

DR. AMANDA MCCOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
421 CHANDLER ST, WORCESTER, MA 01602-2915
(508) 752-4511
(508) 797-4729
Mailing address
421 CHANDLER ST, WORCESTER, MA 01602-2915
(508) 752-4511
(508) 797-4729

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
251174
MA
208000000X
Pediatrics Physician
263478
NY
390200000X
Student in an Organized Health Care Education/Training Program
62865

Other

Enumeration date
04/09/2009
Last updated
08/06/2012
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