Individual
BREYEN COFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
840 HARRISON AVE, BOSTON, MA 02118-2905
(617) 638-6610
Mailing address
960 MASSACHUSETTS AVE, FLR 2, BOSTON, MA 02118
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
1022177
MA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
1022177
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110155202A
—
MA
05
—
3149586
—
NH
Enumeration date
03/20/2019
Last updated
04/21/2026
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