JOSEPH T. COYNE
Physician/surgeon


Address: 85 Lawrence Dr, Longmeadow, MA 01106-1617

JOSEPH T. COYNE (Credential# 1152720) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2019. The license expiration date date is January 31, 2020. The license status is ACTIVE.

Business Overview

JOSEPH T. COYNE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.051968. The credential type is physician/surgeon. The effective date is February 1, 2019. The expiration date is January 31, 2020. The business address is 85 Lawrence Dr, Longmeadow, MA 01106-1617. The current status is active.

Basic Information

Licensee Name JOSEPH T. COYNE
Credential ID 1152720
Credential Number 1.051968
Credential Type Physician/Surgeon
Business Address 85 Lawrence Dr
Longmeadow
MA 01106-1617
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2013-05-23
Effective Date 2019-02-01
Expiration Date 2020-01-31
Refresh Date 2019-01-08

Other licenses

ID Credential Code Credential Type Issue Term Status
1167409 CSP.0054827 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2013-06-10 2017-03-01 - 2019-02-28 LAPSED

Office Location

Street Address 85 LAWRENCE DR
City LONGMEADOW
State MA
Zip Code 01106-1617

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Susan M Neville 43 Lincoln Road, Longmeadow, MA 01106 Registered Nurse 2020-07-01 ~ 2021-06-30
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Competitor

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City LONGMEADOW
Zip Code 01106
License Type Physician/Surgeon
License Type + County Physician/Surgeon + LONGMEADOW

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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