Individual
JANINE M. COY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
4940 EASTERN AVE, CIMS OFFICE, BALTIMORE, MD 21224-2735
(410) 550-8956
(202) 537-4588
Mailing address
15 HOSPITAL DR, YORK, ME 03909-1011
(301) 649-9787
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA030318
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA1720
MAINE LICENSE
ME
Enumeration date
12/20/2005
Last updated
03/07/2023
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