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Physician Compare National (NPI:1750726766)

HEALTHCARE PROVIDER: ELLINOR QUAY COYNE M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1750726766
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 6901025394
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20171016000683
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name COYNE
Individual professional last name
Provider First Name ELLINOR
Individual professional first name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 2013
Individual professional's medical school graduation year
Primary Specialty DERMATOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name MARTIN BRAUN III, M.D., P.C.
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 5395788210
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 6
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 2112 F NW ST
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 701
Group Practice or individual's line 2 address
City WASHINGTON
Group Practice or individual's city
State DC
Group Practice or individual's state
Zip Code 200372762
Group Practice or individual's zip code (9 digits when available)
Phone Number 2022937618
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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