Organization
DAVID R. MCCOMB, DO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MCCOMB DO (MANAGER)
(609) 953-5517
Entity
Organization
Contact information
Practice address
239 TAUNTON BLVD, A-2, MEDFORD, NJ 08055-3471
(609) 953-5517
(609) 953-1135
Mailing address
PO BOX 445, MEDFORD, NJ 08055-0445
(609) 953-5517
(609) 953-1135
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
MB69772
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002232
—
NJ
Enumeration date
10/12/2007
Last updated
02/06/2017
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