Individual
SUSAN O'NEIL COYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5 BUCKNAM RD STE 1D, FALMOUTH, ME 04105-1208
(207) 781-1551
(207) 781-1552
Mailing address
5 BUCKNAM RD STE 1D, FALMOUTH, ME 04105-1208
(207) 781-1551
(207) 781-1552
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA2311
ME
363AS0400X
Surgical Physician Assistant
MA059270
PA
363AS0400X
Surgical Physician Assistant
Primary
PA2311
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA2311
MAINE STATE CERTIFICATION
ME
Enumeration date
09/15/2017
Last updated
11/24/2025
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