Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | 048982 | CT |
NPI | 1043492028 |
---|---|
Provider Name | Dr. Brian W Coyle |
First Address | Milford, CT 06460-6215 |
Second Address | North Haven, CT 06473-6103 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2007 |
Last Update Date | 20/10/2011 |