Individual
JONATHAN MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 ROBERT WOOD JOHNSON PL, ED, NEW BRUNSWICK, NJ 08901-1928
(732) 235-8717
(732) 235-7379
Mailing address
66 WEST GILBERT ST, RED BANK, NJ 07701
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MA08076
NJ
207P00000X
Emergency Medicine Physician
MD0425219
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0109746
—
NJ
Enumeration date
07/20/2006
Last updated
02/29/2008
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