| Coventry Family Practice Assoc | |
|
755 Memorial Pkwy Phillipsburg NJ 08865-2748 | |
| (908) 454-6303 | |
| (908) 454-2289 |
| Full Name | Coventry Family Practice Assoc |
|---|---|
| Speciality | Family Medicine |
| Location | 755 Memorial Pkwy, Phillipsburg, New Jersey |
| Authorized Official Name and Position | Raymond S Buch (DIRECTOR) |
| Authorized Official Contact | 9084546303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coventry Family Practice Assoc 755 Memorial Pkwy Phillipsburg NJ 08865-2748 Ph: (908) 454-6303 | Coventry Family Practice Assoc 755 Memorial Pkwy Phillipsburg NJ 08865-2748 Ph: (908) 454-6303 |
| NPI Number | 1578534475 |
|---|---|
| Provider Enumeration Date | 01/30/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578534475 | NPI | - | NPPES |
| 3134008 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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