MEDICARE: DAVID J COIA DO

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
1	207Q00000X	Family Medicine Physician	DO00632	RI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	119007225	OTHER		MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629181268
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID J COIA DO

Provider Business Mailing Address
First Line	:	455 TOLL GATE ROAD
Second Line	:	PRC AND CREDENTIALING
City	:	WARWICK
State	:	RI
Zip	:	02886-2759
Country	:	US
Telephone Number	:	401-273-0641
Fax Number	:	401-273-2919

Provider Business Practice Location Address
First Line	:	215 TOLL GATE RD STE 104
Second Line	:
City	:	WARWICK
State	:	RI
Zip	:	02886-4463
Country	:	US
Telephone Number	:	401-921-7290
Fax Number	:	401-921-6194

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2006
Last Update Date	:	02/03/2026

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Directions to “ DAVID J COIA DO” Practice Location

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