Coughlin, Mary

Coughlin, Mary is an individual health care provider with primary practice located at 398 Neponset Ave , Dorchester MA 02122-3134. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Coughlin, Mary can be contacted via phone (617) 282-3200.

Contact Information

Primary practice address
398 Neponset Ave Dorchester MA 02122-3134
Phone: (617) 282-3200
Fax: (617) 282-7928
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 169259 Massachusetts

Profile Details

NPI number 1699751123
LBN Legal business name Coughlin, Mary
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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