Individual
JANIS COBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
55 FOGG RD, WEYMOUTH, MA 02190-2432
(781) 624-8321
(781) 624-3782
Mailing address
55 FOGG RD, WEYMOUTH, MA 02190-2432
(781) 340-8321
(781) 340-3782
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
177871
MA
Other
Enumeration date
08/01/2006
Last updated
07/06/2012
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