Individual
CHRISTOPHER COUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
123 SUMMER ST STE 680, WORCESTER, MA 01608-1216
(508) 363-5373
Mailing address
20 WASHINGTON SQ FL 2, WORCESTER, MA 01604-4013
(508) 363-5373
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN2307149
MA
Other
Enumeration date
10/13/2017
Last updated
05/16/2019
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