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Individual
DR. GERARD JOHN-CHARLES COUGHLIN
Active
Individual
DR. GERARD JOHN-CHARLES COUGHLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0103301473
VA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PDT.0000615
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
01/29/2020
Last updated
09/17/2026
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