Provider Demographics
NPI:1609970912
Name:COGGINS, CLAIRE (MD)
Entity Type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:
Last Name:COGGINS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2506 DELAWARE AVE
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19806-1220
Mailing Address - Country:US
Mailing Address - Phone:804-334-4300
Mailing Address - Fax:302-384-6347
Practice Address - Street 1:2506 DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19806-1220
Practice Address - Country:US
Practice Address - Phone:804-334-4300
Practice Address - Fax:302-384-6347
Is Sole Proprietor?:No
Enumeration Date:2006-09-08
Last Update Date:2014-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-00088912085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H60547Medicare UPIN
002016M41 C03041Medicare ID - Type Unspecified
H60547Medicare UPIN