Jonathan W Coggeshall JR., P.A.

NPI #1679684401 in Waldoboro, Maine

Provider Information

NPI Number: 1679684401
Entity Type: Individual
Name: Jonathan W Coggeshall JR., P.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: Aug 31, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 27 MILL ST
City: Waldoboro
State: Maine
ZIP Code: 04572-6013
Phone: (207) 832-5291

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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