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Organization

NORMAN G. MCKOY MD & ASSOCIATES PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NORMAN G. MCKOY M.D. (MEDICAL DOCTOR)
(301) 336-9065
Entity
Organization

Contact information

Practice address
10274 LAKE ARBOR WAY, SUITE 202, MITCHELLVILLE, MD 20721-3146
(301) 336-9065
(301) 336-6909
Mailing address
10274 LAKE ARBOR WAY, SUITE 202, MITCHELLVILLE, MD 20721-3146
(301) 336-9065
(301) 336-6909

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D35947
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0660019-00
MD
01
06980
AMERICAID
MD
01
0733-0001
BLUECROSS BLUESHIELD-DC
DC
01
7946
BLUECROSS BLUESHIELD OF MARYLAND
MD
Enumeration date
10/07/2008
Last updated
08/07/2014
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