MEDICARE: TIBERIU KOVACS, M.D., P.C.

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
1	207RC0000X	Cardiovascular Disease Physician

General Provider Information

NPI Number	:	1548260565
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TIBERIU KOVACS, M.D., P.C.

Provider Business Mailing Address
First Line	:	4 ETHEL RD
Second Line	:	SUITE 406B
City	:	EDISON
State	:	NJ
Zip	:	08817-2841
Country	:	US
Telephone Number	:	732-287-6622
Fax Number	:	732-287-2233

Provider Business Practice Location Address
First Line	:	4 ETHEL RD
Second Line	:	SUITE 406B
City	:	EDISON
State	:	NJ
Zip	:	08817-2841
Country	:	US
Telephone Number	:	732-287-6622
Fax Number	:	732-287-2233

Authorized Official
Title or Position	:	VICE PRESIDENT/SECRETARY
Name	:	DR. ROBERT A. PANEBIANCO
Credential	:	M.D.
Telephone Number	:	732-287-6622

Provider Enumeration Date	:	08/01/2005
Last Update Date	:	03/04/2010

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Practice Location Address:

4 ETHEL RD , STE 406B
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08817-2841

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