Individual
DR. MICHAEL RICHARD CORONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
41 MALL RD, LAHEY CLINIC, INC., BURLINGTON, MA 01805-0001
(781) 744-3839
Mailing address
41 MALL RD, LAHEY CLINIC, INC., BURLINGTON, MA 01805-0001
(781) 744-3839
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
254004
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110096067A
—
MA
Enumeration date
05/21/2010
Last updated
08/16/2013
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