| Dr Devon Matthew Coughlin, DC | |
|
4516 Church Rd, Mount Laurel, NJ 08054-2210 | |
| (856) 552-0570 | |
| Not Available |
| Full Name | Dr Devon Matthew Coughlin |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 16 Years |
| Location | 4516 Church Rd, Mount Laurel, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104126267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC010321 (Pennsylvania) | Secondary |
| 111N00000X | Chiropractor | 38MC00687000 (New Jersey) | Primary |
| Provider Name | Revolution Chiropractic Health Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1952691495 PECOS PAC ID: 8022294933 Enrollment ID: O20110510000751 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Devon Matthew Coughlin, DC 4516 Church Rd, Mount Laurel, NJ 08054-2210 Ph: (856) 552-0570 | Dr Devon Matthew Coughlin, DC 4516 Church Rd, Mount Laurel, NJ 08054-2210 Ph: (856) 552-0570 |
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