Individual
MARY KATHLEEN COUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
1177 PROVIDENCE HIGHWAY, NORWOOD, MA 02062
(781) 278-5600
Mailing address
125 ADAMS ST, DEDHAM, MA 02026-3609
(781) 686-7350
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2346769
MA
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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