MEDICARE: MARK X COYNE MD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	D0029521	MD

General Provider Information

NPI Number	:	1225258205
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARK X COYNE MD PA

Provider Business Mailing Address
First Line	:	186 THOMAS JOHNSON DR
Second Line	:	SUITE 104
City	:	FREDERICK
State	:	MD
Zip	:	21702-4305
Country	:	US
Telephone Number	:	301-695-6466
Fax Number	:	301-695-1094

Provider Business Practice Location Address
First Line	:	186 THOMAS JOHNSON DR
Second Line	:	SUITE 104
City	:	FREDERICK
State	:	MD
Zip	:	21702-4305
Country	:	US
Telephone Number	:	301-695-6466
Fax Number	:	301-695-1094

Authorized Official
Title or Position	:	DOCTOR
Name	:	MARK X COYNE
Credential	:	MD PA
Telephone Number	:	301-695-6466

Provider Enumeration Date	:	05/01/2007
Last Update Date	:	01/06/2026

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Directions to “MARK X COYNE MD PA ” Practice Location

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