Individual
CHARLES E MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
318 WATERMAN AVE, EAST PROVIDENCE, RI 02914
(401) 438-5950
(401) 435-2561
Mailing address
318 WATERMAN AVE, EAST PROVIDENCE, RI 02914
(401) 438-5950
(401) 435-2561
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
54730
MA
207RN0300X
Nephrology Physician
Primary
7312
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000003716
BOSTON MEDICAL
MA
01
—
054730
TUFTS
—
01
—
10015RIH
HARVARD PILGRIM
—
05
—
110047054B
—
MA
01
—
1220212002
CIGNA
—
01
—
1487
NEIGHBORHOOD
—
01
—
201149
BLUE CHIP
RI
01
—
3085902
MA WELFARE
—
01
—
3100113
UNITED
—
01
—
390001779
RAILROAD MEDICARE
—
05
—
7000736
—
RI
01
—
7312
BLUE CROSS
RI
01
—
J08648
BLUE CROSS
MA
Enumeration date
11/29/2005
Last updated
10/29/2009
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