Individual
DAVID R MCCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
109 W MAPLE AVE, MERCHANTVILLE, NJ 08109-2038
(609) 953-5517
(609) 953-1135
Mailing address
PO BOX 445, MEDFORD, NJ 08055-0445
(609) 953-5517
(609) 953-1135
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
MB69772
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002232
—
NJ
Enumeration date
01/23/2006
Last updated
11/30/2010
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