Healthcare Provider Details

I. General information

NPI: 1730352113
Provider Name (Legal Business Name): DR ARTHUR KOVENS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2008
Last Update Date: 04/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 MOUNT CARMEL RD SUITE 600
PARKTON MD
21120-9706
US

IV. Provider business mailing address

111 MOUNT CARMEL RD SUITE 600
PARKTON MD
21120-9706
US

V. Phone/Fax

Practice location:
  • Phone: 410-329-6700
  • Fax: 410-357-0278
Mailing address:
  • Phone: 410-329-6700
  • Fax: 410-357-0278

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberTA0751
License Number StateMD

VIII. Authorized Official

Name: DR. ARTHUR SHELDON KOVENS
Title or Position: OPTOMETRIST/OWNER
Credential: OD
Phone: 410-329-6700