Individual
BRIAN MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5500 GAUMER AVE, PENNSAUKEN, NJ 08109-1708
(856) 236-5648
Mailing address
5500 GAUMER AVE, PENNSAUKEN, NJ 08109-1708
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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