Individual
JOHN J COAKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
235 CANTRELL AVE, HARRISONBURG, VA 22801-3248
(540) 433-4100
Mailing address
1000 RIVER RD, SUITE 100, CONSHOHOCKEN, PA 19428-2439
(610) 834-2828
(610) 834-2862
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0102201828
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10242924
—
VA
01
—
1841797000
WEST VA MEDICAID
VA
01
—
P00307895
RAILROAD MEDICARE
VA
Enumeration date
06/12/2006
Last updated
03/04/2008
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