Kevin J Mccoach in Montclair - Cardiovascular Disease

Kevin J Mccoach - NPI 1366444002

Kevin J Mccoach is a Cardiovascular Disease in Montclair, New Jersey. Kevin J Mccoach practices all healthcare services and medical treatments related to Cardiovascular Disease. 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 Cardiovascular Disease
Taxonomy 207Rc0000X
Licence No 103702
Definition:
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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FAQs about Kevin J Mccoach

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 Cardiovascular Disease, and the corresponding taxonomy code is 207Rc0000X.

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.

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