| Doctor Name: | MR. MARC E COVITZ |
| NPI Number: | 1992043178 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | APN |
| License Number: | 26NN10244200 |
| Business Practice Address: | 117 Burlington Path Rd Cream Ridge, NJ - 085141604 |
| Business Phone Number: | 6097383016 |
| Business Fax Number: | 6097383016 |
| Mailing Address: | 117 Burlington Path Rd, CREAM RIDGE |
| State: | NJ |
| Postal Code: | 085141604 |
| Phone Number: | 6097383016 |
| Fax Number: | 6097383016 |
| NPI Enumeration Date: | 01/23/2013 |
| NPI Last Update Date: | 01/23/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 26NN10244200 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |