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Individual
DR. MICHAEL RICHARD CORONADO
Active
Individual
DR. MICHAEL RICHARD CORONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
254004
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110096067A
—
MA
Enumeration date
05/21/2010
Last updated
08/16/2013
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