Provider Demographics
NPI:1437228707
Name:COYLE, GENOVEVA F (MD)
Entity Type:Individual
Prefix:
First Name:GENOVEVA
Middle Name:F
Last Name:COYLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:GENOVEVA
Other - Middle Name:F
Other - Last Name:FRINCU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:351 SPARTA AVE
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:NJ
Mailing Address - Zip Code:07871-1160
Mailing Address - Country:US
Mailing Address - Phone:973-729-0016
Mailing Address - Fax:973-729-0058
Practice Address - Street 1:350 SPARTA AVE
Practice Address - Street 2:A - 1
Practice Address - City:SPARTA
Practice Address - State:NJ
Practice Address - Zip Code:07871-1120
Practice Address - Country:US
Practice Address - Phone:973-729-0016
Practice Address - Fax:973-729-0058
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2018-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07206600207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H48753Medicare UPIN