Organization
FREDERICK A. COVILLE, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK A COVILLE M.D. (PRESIDENT)
(609) 957-5652
Entity
Organization
Contact information
Practice address
301 CENTRAL AVE, SUITE D, EGG HARBOR TOWNSHIP, NJ 08234-8340
(609) 957-5652
(609) 952-6082
Mailing address
255 NORTHPOINT ROAD, OCEAN CITY, NJ 08226
(609) 957-5652
(609) 952-6082
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
25MA05499900
NJ
208200000X
Plastic Surgery Physician
25MA05499900
NJ
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
25MA05499900
NJ
208D00000X
General Practice Physician
25MA05499900
NJ
Other
Enumeration date
05/13/2010
Last updated
08/10/2010
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