Individual
BRENDON COUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4326 US HIGHWAY 1, MONMOUTH JUNCTION, NJ 08852-1906
(732) 235-5910
Mailing address
671 HOES LN W, PISCATAWAY, NJ 08854-8021
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/22/2017
Last updated
11/22/2017
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