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Contact Information

ANDRE COVACHA, PA-C
2140 MENDON RD
CUMBERLAND, RI02864
 Phone: 401-642-2072
 Fax: 401-305-3958
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ANDRE COVACHA · (Male)

NPI # 1265800023
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 09/10/2015
Last updated 10/30/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • MA License # PA7807
  • RI License # CPA00837
Hospital affiliation(s)
  • MIRIAM HOSPITAL - (Acute Care)
    164 SUMMIT AVENUE
    PROVIDENCE, RI 02906
  • RHODE ISLAND HOSPITAL - (Acute Care)
    593 EDDY STREET
    PROVIDENCE, RI 02902
  • ROGER WILLIAMS MEDICAL CENTER - (Acute Care)
    825 CHALKSTONE AVENUE
    PROVIDENCE, RI 02908
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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