Mccoy, Andrea C

Mccoy, Andrea C is an individual health care provider with primary practice located at 3509 N Broad St , Philadelphia PA 19140-4105. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mccoy, Andrea C can be contacted via phone (215) 707-5437.

Contact Information

Primary practice address
3509 N Broad St Philadelphia PA 19140-4105
Fax: (215) 707-5180
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD039292E Pennsylvania

Profile Details

NPI number 1518955426
LBN Legal business name Mccoy, Andrea C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Jul 13th, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518955426 NPPES
Pennsylvania MEDICAID 0012724080006

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