Individual
ANN M COUGHLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5 MILES CENTER WAY, UNIT 1, DAMARISCOTTA, ME 04543-4067
(207) 563-4250
(207) 563-4561
Mailing address
5 MILES CENTER WAY, UNIT 1, DAMARISCOTTA, ME 04543-4067
(207) 563-4250
(207) 563-4561
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
017392
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346316973
NPI INTERNAL MEDICINE
ME
01
—
1699860106
NPI MILES
ME
Enumeration date
10/17/2006
Last updated
03/12/2009
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