Healthcare Provider Details

I. General information

NPI: 1053723627
Provider Name (Legal Business Name): ADAM WALTER KOWALSKI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2014
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 CLEARVIEW CIR UNIT A
BUTLER PA
16001-1571
US

IV. Provider business mailing address

8150 PERRY HWY STE 201
PITTSBURGH PA
15237-5200
US

V. Phone/Fax

Practice location:
  • Phone: 724-282-1530
  • Fax: 724-282-1451
Mailing address:
  • Phone: 724-282-1530
  • Fax: 724-282-1451

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD494199
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: