Organization Name: | MARGARET M COUGHLAN MD PLLC |
NPI Number: | 1497937072 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARGARET M COUGHLAN (OWNER) |
Mailing Address: | 3712 Route 44 Millbrook |
State: | NY US |
Postal Code: | 12545 |
Phone Number: | 8456776767 |
Fax Number: | 8456778728 |
NPI Enumeration Date: | 12/05/2007 |
NPI Last Update Date: | 06/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | 211406 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |