Individual
MR. DANIEL THOMAS COGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-7396
(401) 444-5527
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-7396
(401) 444-5527
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
10662
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1203373
UNITED HEALTH
—
01
—
28015
NEIGHBORHOOD HTH PLAN
RI
01
—
409839
BLUE CHIP
—
01
—
8316329003
CIGNA
—
05
—
DG41300
—
CT
Enumeration date
06/27/2006
Last updated
01/02/2009
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