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Individual

CYNTHIA B. COUGHLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
228 BILLERICA RD, CHELMSFORD, MA 01824-3604
(978) 250-6200
(978) 244-6665
Mailing address
147 MILK ST, PROVIDER ENROLLMENT 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8096
(617) 421-3487

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
268057
MA
207V00000X
Obstetrics & Gynecology Physician
Primary
268057
MA

Other

Enumeration date
07/15/2006
Last updated
04/08/2009
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