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NPI Code Detail

MEDICARE: MR. STEPHEN CONNERY COYLE PA-C

MEDICARE: MR. STEPHEN CONNERY COYLE PA-C
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
1363A00000XPhysician Assistant2305MA
2363A00000XPhysician AssistantMA053083PA

General Provider Information

NPI Number : 1366560765
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. STEPHEN CONNERY COYLE PA-C
Provider Business Mailing Address
First Line : 1245 HIGHLAND AVE
Second Line : SUITE 401
City : ABINGTON
State : PA
Zip : 19001-3725
Country : US
Telephone Number : 215-481-6070
Fax Number : 215-481-6076
Provider Business Practice Location Address
First Line : 1245 HIGHLAND AVE
Second Line : SUITE 401
City : ABINGTON
State : PA
Zip : 19001-3725
Country : US
Telephone Number : 215-481-6070
Fax Number : 215-481-6076
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2007
Last Update Date : 01/19/2018

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Directions to “ MR. STEPHEN CONNERY COYLE PA-C” Practice Location

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