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Contact Information

DAVID R. MCCOMB, DO, LLC
239 TAUNTON BLVD
A-2
MEDFORD, NJ08055-3471
 Phone: 609-953-5517
 Fax: 609-953-1135
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for DAVID R MCCOMB DO LLC · (Female)

NPI Number 1881882082
Status Active
Credentials
Entity Individual
Enumeration date 10/12/2007
Last updated 02/06/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • NJ License # MB69772
  • NJ Medicaid 0002232
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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