Individual
BRIDGET MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4929 CEDAR AVE, PHILADELPHIA, PA 19143-2013
(610) 505-9607
Mailing address
4929 CEDAR AVE, PHILADELPHIA, PA 19143-2013
(610) 505-9607
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
SPO15553
PA
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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