Individual
MR. EDWARD CHARLES COFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD, RDN
Contact information
Practice address
633 MOUNTAIN ST, PHILADELPHIA, PA 19148-1230
(302) 599-9801
Mailing address
633 MOUNTAIN ST, PHILADELPHIA, PA 19148-1230
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
01042641
PA
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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