# COVENTRY FAMILY PRACTICE ASSOC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578534475
- **Authorized official:** DR. RAYMOND S BUCH MD (DIRECTOR)
- **Authorized official phone:** (908) 454-6303

## Contact information

- **Practice address:** 755 MEMORIAL PKWY, PHILLIPSBURG, NJ 08865-2748
- **Practice address phone:** (908) 454-6303
- **Practice address fax:** (908) 454-2289
- **Mailing address:** 755 MEMORIAL PKWY, PHILLIPSBURG, NJ 08865-2748
- **Mailing address phone:** (908) 454-6303
- **Mailing address fax:** (908) 454-2289

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/30/2006
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3134008 | — | NJ |