Individual
MARY ELLEN M. MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
61 LACEY RD, WHITING, NJ 08759-4439
(732) 350-2424
(732) 350-2444
Mailing address
54 BEY LEA RD, STE 1, TOMS RIVER, NJ 08753-2978
(732) 505-9728
(732) 505-9787
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00174700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0774901
—
NJ
Enumeration date
11/28/2005
Last updated
09/21/2017
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