Individual
PATRICIA COUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
150 ANSEL HALLET RD, WEST YARMOUTH, MA 02673-2582
(508) 771-8350
Mailing address
10 PATRIOT PKWY APT A324, SOUTH WEYMOUTH, MA 02190-0011
(508) 367-8809
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/22/2020
Last updated
01/18/2022
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