Provider Demographics
NPI:1104006782
Name:COVENTRY CARDIOLOGY ASSOCIATES
Entity Type:Organization
Organization Name:COVENTRY CARDIOLOGY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:H
Authorized Official - Last Name:POPKAVE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-859-3800
Mailing Address - Street 1:1000 COVENTRY DR
Mailing Address - Street 2:
Mailing Address - City:PHILLIPSBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08865-1980
Mailing Address - Country:US
Mailing Address - Phone:908-859-3800
Mailing Address - Fax:908-859-4310
Practice Address - Street 1:175 S 21ST ST
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18042-3835
Practice Address - Country:US
Practice Address - Phone:610-253-4898
Practice Address - Fax:610-253-6355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-12
Last Update Date:2010-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0018642850005Medicaid
PA038893Medicare PIN
PACH1190Medicare PIN