Individual
DR. MICHAEL KEVIN MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
42 E LAUREL RD, SUITE 3600, STRATFORD, NJ 08084-1354
(856) 566-6469
Mailing address
1030 BARNEGAT LN, MANTOLOKING, NJ 08738-1620
(732) 899-1469
(732) 899-6532
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
25MS00001100
NJ
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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