Individual
JOHN A COUGHLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
200 S ORANGE AVE, LIVINGSTON, NJ 07039-5817
(973) 577-4056
Mailing address
200 S ORANGE AVE, LIVINGSTON, NJ 07039-5817
(973) 577-4056
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00686100
NJ
Other
Enumeration date
11/15/2016
Last updated
09/24/2024
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