Individual
DR. THOMAS J COYLE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
915 LAWN AVE, SUITE 203, SELLERSVILLE, PA 18960-1551
(215) 257-3697
(215) 453-3410
Mailing address
PO BOX 1111, HARLEYSVILLE, PA 19438-0907
(215) 257-3697
(215) 453-3410
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD032315E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011363710001
—
PA
01
—
30051893
KEYSTONE MERCY
PA
01
—
4307607
AETNA
PA
Enumeration date
07/21/2005
Last updated
12/21/2012
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