Individual
DR. KEVIN A. COUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139
(617) 665-3267
Mailing address
9 MEDFORD ST APT 413, SOMERVILLE, MA 02143-4252
(413) 244-4513
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
266646
MA
Other
Enumeration date
05/16/2013
Last updated
05/31/2018
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