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Individual

ANDRE COVACHA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
2140 MENDON RD, CUMBERLAND, RI 02864
(401) 642-2072
(401) 305-3958
Mailing address
2140 MENDON RD, CUMBERLAND, RI 02864-3843
(401) 642-2072
(401) 305-3958

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
CPA00837
RI
363A00000X
Physician Assistant
PA7807
MA

Other

Enumeration date
09/10/2015
Last updated
10/30/2020
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