Individual
JOSEPH COUGHLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-6824
Mailing address
33 RAINBOW DR, HAVERHILL, MA 01835-6979
(978) 853-4146
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA4243
MA
363AS0400X
Surgical Physician Assistant
PA4232
MA
Other
Enumeration date
08/30/2011
Last updated
10/31/2024
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