Individual
VICTORIA A COBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 BOSTON MEDICAL CTR PL, BCD 1, BOSTON, MA 02118-2908
(617) 414-7757
(617) 414-7759
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
225551
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110084083A
—
MA
05
—
3123868
—
NH
Enumeration date
04/24/2008
Last updated
06/01/2023
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