Individual
SHAUN COUGHLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
2 TURTLE ROCK CT, TIBURON, CA 94920-1300
(415) 435-5803
Mailing address
2 TURTLE ROCK CT, TIBURON, CA 94920-1300
(415) 435-5803
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
52746
MA
207RC0000X
Cardiovascular Disease Physician
Primary
G52403
CA
Other
Enumeration date
06/18/2007
Last updated
07/08/2007
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