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Individual

MR. DANIEL THOMAS COGHLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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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