| Margaret M Coughlan Md Pllc | |
|
3712 Route 44 Millbrook NY 12545 | |
| (845) 677-6767 | |
| (845) 677-8728 |
| Full Name | Margaret M Coughlan Md Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3712 Route 44, Millbrook, New York |
| Authorized Official Name and Position | Margaret M Coughlan (OWNER) |
| Authorized Official Contact | 8456776767 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Margaret M Coughlan Md Pllc Po Box 167 Millbrook NY 12545-0167 Ph: (845) 677-6767 | Margaret M Coughlan Md Pllc 3712 Route 44 Millbrook NY 12545 Ph: (845) 677-6767 |
| NPI Number | 1497937072 |
|---|---|
| Provider Enumeration Date | 12/05/2007 |
| Last Update Date | 06/23/2008 |
| Medicare PECOS PAC ID | 4082794235 |
|---|---|
| Medicare Enrollment ID | O20071231000349 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497937072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 211406 (New York) | Primary |
| Provider Name | Margaret M Coughlan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760428833 PECOS PAC ID: 5395764344 Enrollment ID: I20051118000272 |
Robert F. Krall Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 61 Front St, Box 570, Millbrook, NY 12545 Phone: 845-677-5012 Fax: 845-677-5024 |