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NPI Code Detail

MEDICARE: DR. ROGER COVEN M.D.

MEDICARE: DR. ROGER COVEN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist25MA04007000NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P383592OTHERNJOXFORD ID #
2160045031OTHERNJRAILROAD MDCR #
3872591OTHERNJAETNA HMO ID #
456F273OTHERNJEMPIRE BC/BS (RAMSEY)
556F272OTHERNJEMPIRE BC/BS (MIDLAND PK)
64129937OTHERNJAETNA PPO ID #

General Provider Information

NPI Number : 1518961143
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROGER COVEN M.D.
Provider Business Mailing Address
First Line : 581 N FRANKLIN TPKE
Second Line :
City : RAMSEY
State : NJ
Zip : 07446-1139
Country : US
Telephone Number : 201-236-2100
Fax Number : 201-236-5269
Provider Business Practice Location Address
First Line : 581 N FRANKLIN TPKE
Second Line :
City : RAMSEY
State : NJ
Zip : 07446-1139
Country : US
Telephone Number : 201-236-2100
Fax Number : 201-236-5269
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2005
Last Update Date : 04/08/2009

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