Organization
TWO OCEANS WELLNESS MEDICAL GROUP WEST PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTINE I MCCOY MD (OWNER)
(808) 756-0739
Entity
Organization
Contact information
Practice address
12 RUSSEL AVE., OCEANPORT, NJ 07757
(808) 756-0739
Mailing address
12 RUSSEL AVE, OCEANPORT, NJ 07757-1249
(808) 756-0739
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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