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Michael C Coburn, MD
Addiction Medicine (Psychiatry & Neurology) Physician in North Kingstown, Rhode Island
NPI 1720040728

Michael C Coburn is an Addiction Medicine (Psychiatry & Neurology) Physician based in North Kingstown, RI and is specialized in Addiction Medicine. Michael C Coburn practices in North Kingstown, RI and has the professional credentials of MD. The NPI Number for Michael C Coburn is 1720040728 and holds a License No. MD08308 (Rhode Island).

The current practice location address for Michael C Coburn is 1950 Tower Hill Rd, North Kingstown, RI and can be reached out via phone at 401-559-3954 and via fax at 401-294-4116.

Location: 1950 Tower Hill Rd, North Kingstown, RI, 02852-6639
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720040728
Provider Name
Michael C Coburn
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1950 Tower Hill Rd, North Kingstown, RI, 02852-6639
Phone Number
401-559-3954
Fax Number
401-294-4116
Provider Enumeration Date
04/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
005185 01 RI BCBSRI/CHIP
838-7 01 RI BCBSRI
7004684 05 RI
institution
Provider Business Practice Location Address Details
Address
1950 Tower Hill Rd
City
North Kingstown
State
Rhode Island
Zip
02852-6639
Phone Number
401-559-3954
Fax Number
401-294-4116
person
Provider Business Mailing Address Details
Address
1950 Tower Hill Rd
City
North Kingstown
State
Rhode Island
Zip
02852-6639
Phone Number
401-559-3954
Fax Number
401-294-4116
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Addiction Medicine
Taxonomy
2084A0401X
License No.
MD08308 (Rhode Island)
Definition
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
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