Healthcare Provider Details

I. General information

NPI: 1427086966
Provider Name (Legal Business Name): CHRISTOPHER JAMES LOUGHLIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2006
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1822 N MAIN ST STE 104
FALL RIVER MA
02720-1350
US

IV. Provider business mailing address

1822 N MAIN ST STE 104
FALL RIVER MA
02720-1350
US

V. Phone/Fax

Practice location:
  • Phone: 508-955-7157
  • Fax: 508-744-6631
Mailing address:
  • Phone: 508-955-7157
  • Fax: 508-744-6631

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number042305
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberMD12292
License Number StateRI
# 3
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number1021583
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: