Provider Demographics
NPI:1427086966
Name:LOUGHLIN, CHRISTOPHER JAMES (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:JAMES
Last Name:LOUGHLIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1822 N MAIN ST STE 104
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02720-1350
Mailing Address - Country:US
Mailing Address - Phone:508-955-7157
Mailing Address - Fax:508-744-6631
Practice Address - Street 1:1822 N MAIN ST STE 104
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-1350
Practice Address - Country:US
Practice Address - Phone:508-955-7157
Practice Address - Fax:508-744-6631
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2025-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT042305207Y00000X
RIMD12292207Y00000X
MA1021583207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010255201Medicaid
VA00X006M03Medicare ID - Type Unspecified
VA010255201Medicaid