Dr Devon Matthew Coughlin, DC | |
4516 Church Rd, Mount Laurel, NJ 08054-2210 | |
(856) 552-0570 | |
Not Available |
Full Name | Dr Devon Matthew Coughlin |
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Gender | Male |
Speciality | Chiropractic |
Experience | 14 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 |
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111N00000X | Chiropractor | DC010321 (Pennsylvania) | Secondary |
111N00000X | Chiropractor | 38MC00687000 (New Jersey) | Primary |
Provider Name | Revolution Chiropractic Health Center |
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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 |
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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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