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Contact Information

MARY ELLEN MCCOY, DPM
65-H LACEY ROAD
WHITING, NJ08759
 Phone: 732-350-7465
 Fax: 732-350-7105
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for MARY ELLEN MCCOY DPM · (Female)

NPI Number 1538234448
Status Active
Credentials
Entity Individual
Enumeration date 11/24/2006
Last updated 06/21/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • NJ License # MD01747
  • NJ Medicaid 0774901
  • NJ Other 0102229000 AMERIHEALTH
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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