Provider Demographics
NPI:1366656878
Name:COYNE, VERONICA E (MD)
Entity Type:Individual
Prefix:DR
First Name:VERONICA
Middle Name:E
Last Name:COYNE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:595 WEST STATE ST
Mailing Address - Street 2:DOYLESTOWN HOSPITAL HOSPICE DEPARTMENT
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901
Mailing Address - Country:US
Mailing Address - Phone:215-345-2671
Mailing Address - Fax:267-880-1393
Practice Address - Street 1:595 WEST STATE ST
Practice Address - Street 2:DOYLESTOWN HOSPITAL HOSPICE DEPARTMENT
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901
Practice Address - Country:US
Practice Address - Phone:215-345-2671
Practice Address - Fax:267-880-1393
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD007729E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA07779710103Medicaid
16454113HMedicare ID - Type Unspecified
PA07779710103Medicaid