Individual
DR. THOMAS J. COGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 VILLAGE SQUARE DRIVE, BUILDING 24, SOUTH KINGSTOWN, RI 02879
(401) 272-2020
(401) 789-4113
Mailing address
150 EAST MANNING STREET, PROVIDENCE, RI 02906
(401) 272-2020
(401) 421-5979
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
30866
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000899
BLUE CHIP
—
01
—
050369447
VISION SERVICE PLAN
—
01
—
0550502
AETNA HMO
—
01
—
0800100
UNITED HEALTHCARE
RI
01
—
1102
NEIGHBORHOOD HEALTH
—
01
—
180012016
RAILROAD MEDICARE
—
01
—
324
BLUE CROSS BLUE SHIELD
RI
01
—
5007211
AETNA NONHMO
—
01
—
718112
TUFTS
—
01
—
7243170001
CIGNA
—
01
—
AA41514
HARVARD PILGRIM
—
01
—
R001038
TRICARE
—
05
—
TC00223
—
RI
Enumeration date
06/26/2006
Last updated
09/18/2013
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