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Individual

BRIAN L COOLBAUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
235 N PEARL ST, BROCKTON, MA 02301-1794
(508) 427-2665
(508) 427-2368
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118-2690

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
57375
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110046266A
MA
05
3134990
NH
Enumeration date
08/23/2006
Last updated
05/18/2026
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