Kevin J Mccoach in Montclair - Internal Medicine
Kevin J Mccoach - NPI 1366444002
Kevin J Mccoach is a Internal Medicine in Montclair, New Jersey. Kevin J Mccoach practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Kevin J Mccoach is 1366444002. The last update date is 2020-06-25.
Kevin J Mccoach's current location address is 62 S Fullerton Ave, Montclair, New Jersey. You can contact this provider via phone number 9737468585. The mailing address for Kevin J Mccoach is 62 S Fullerton Ave, Montclair, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin J Mccoach |
|---|---|
| Address | 62 S Fullerton Ave, Montclair, New Jersey |
| Phone Number | 9737468585 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD FACC |
NPI Number Detail
| NPI Number | 1366444002 |
|---|---|
| Provider Enumeration Date | 2005-08-12 |
| Last Updated Date | 2020-06-25 |
Provider Mailing Address Detail
| Address | 62 S Fullerton Ave |
|---|---|
| City | Montclair |
| State | New Jersey (NJ) |
| Post Code | 70422676 |
| Phone Number | 9737468585 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 103702 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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What is the unique 10-digit identification code assigned to Kevin J Mccoach by the Centers for Medicare & Medicaid Services?
The Kevin J Mccoach has been issued the NPI (National Provider Identifier) 1366444002, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Kevin J Mccoach's facilities are situated?
The facilities of Kevin J Mccoach are physically located at the following address: 62 S Fullerton Ave, Montclair, NJ, 70422676.
What is the Kevin J Mccoach's specialty and taxonomy code?
The Kevin J Mccoach's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1366444002 to Kevin J Mccoach?
The Centers for Medicare & Medicaid Services originally issued the 1366444002 to Kevin J Mccoach on 2005-08-12.
As of what date were the details related to Kevin J Mccoach most recently updated or revised?
The information pertaining to Kevin J Mccoach, including its address, specialty, and other relevant details, was last updated or revised on 2020-06-25.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH