| David R. Mccomb, Do, Llc | |
|
239 Taunton Blvd A-2 Medford NJ 08055-3471 | |
| (609) 953-5517 | |
| (609) 953-1135 |
| Full Name | David R. Mccomb, Do, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 239 Taunton Blvd, Medford, New Jersey |
| Authorized Official Name and Position | David Mccomb (MANAGER) |
| Authorized Official Contact | 6099535517 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David R. Mccomb, Do, Llc Po Box 445 Medford NJ 08055-0445 Ph: (609) 953-5517 | David R. Mccomb, Do, Llc 239 Taunton Blvd A-2 Medford NJ 08055-3471 Ph: (609) 953-5517 |
| NPI Number | 1881882082 |
|---|---|
| Provider Enumeration Date | 10/12/2007 |
| Last Update Date | 02/06/2017 |
| Medicare PECOS PAC ID | 0547217986 |
|---|---|
| Medicare Enrollment ID | O20080417000002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881882082 | NPI | - | NPPES |
| 0002232 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | MB69772 (New Jersey) | Primary |
| Provider Name | David R Mccomb |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326018433 PECOS PAC ID: 1850384041 Enrollment ID: I20040405000884 |
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