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That usually means New York- urban, sophisticated, many a little driven. Not laid back and beachy. I would take it as a compliment.
busterwasmycat
Possibly Liberal but not a West Coast liberal type of liberalism. A greater good liberal rather than a "do what you like" liberal (Roosevelt liberal rather than hippie liberal). The regions of the US do have a typical character, really a caricature or stereotype, that derives from its history.
Could also be more work ethic oriented than pleasure-driven oriented. (more business than artsy). Context would matter somewhat.
Mike
The person who says you are so East Coast is probably saying you are uptight.
Anonymous
It is used in the USA as a sociological description. Not used thus in Britain, where "East Coast" is almost purely used geographically.
Beta Gal
intense and political?