Individual
BRET F COUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
85 SEYMOUR ST STE 200, HARTFORD, CT 06106-5509
(860) 246-6589
Mailing address
111 FOUNDERS PLZ, STE 400, EAST HARTFORD, CT 06108-3212
(860) 246-6589
(860) 783-5733
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
032924
CT
2085R0202X
Diagnostic Radiology Physician
70533
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003071694
—
CT
Enumeration date
07/07/2006
Last updated
03/17/2018
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