Provider Demographics
NPI:1285639120
Name:COYLE, MICHAEL P JR (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:P
Last Name:COYLE
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:2 WORLDS FAIR DR
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-1369
Mailing Address - Country:US
Mailing Address - Phone:732-979-2115
Mailing Address - Fax:732-564-9032
Practice Address - Street 1:2 WORLDS FAIR DR
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-1369
Practice Address - Country:US
Practice Address - Phone:732-979-2115
Practice Address - Fax:732-564-9032
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2012-04-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJMA25844207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJD19580Medicare UPIN