Individual
MARK ANDREW MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(215) 316-5151
Mailing address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(215) 316-5151
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP026259
PA
Other
Enumeration date
09/16/2022
Last updated
09/16/2022
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