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NPI Code Detail

MEDICARE: ROBERT MICHAEL COUGHLIN MD

MEDICARE:   ROBERT MICHAEL COUGHLIN  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine PhysicianD0033464MD

General Provider Information

NPI Number : 1578516241
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT MICHAEL COUGHLIN MD
Provider Business Mailing Address
First Line : PO BOX 597
Second Line :
City : OAKLAND
State : MD
Zip : 21550-0597
Country : US
Telephone Number : 301-433-4329
Fax Number : 301-533-4208
Provider Business Practice Location Address
First Line : 251 N 4TH ST
Second Line :
City : OAKLAND
State : MD
Zip : 21550-1375
Country : US
Telephone Number : 301-533-4190
Fax Number : 301-533-4208
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2006
Last Update Date : 07/08/2007

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Directions to “ ROBERT MICHAEL COUGHLIN MD” Practice Location

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