Individual
MR. SHAWN MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
585 LEBANON ST, MELROSE, MA 02176-3225
(781) 979-3300
Mailing address
585 LEBANON ST, MELROSE, MA 02176-3225
(781) 979-3300
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
PA8608
MA
363A00000X
Physician Assistant
Primary
PA8608
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/12/2021
Last updated
01/25/2024
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