Individual
DR. NICHOLAS JOHN COAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
29 E 29TH ST, BAYONNE, NJ 07002-4654
(484) 802-7615
Mailing address
29 E 29TH ST, BAYONNE, NJ 07002-4654
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB10794700
NJ
Other
Enumeration date
06/05/2017
Last updated
06/13/2025
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