MEDICARE: VERONICA A COVALESKY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	MD039820L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619947553
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VERONICA A COVALESKY MD

Provider Business Mailing Address
First Line	:	207 N BROAD ST FL 3
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19107-1500
Country	:	US
Telephone Number	:	215-463-5333
Fax Number	:	215-463-8085

Provider Business Practice Location Address
First Line	:	1703 S BROAD ST
Second Line	:	SUITE 300
City	:	PHILA
State	:	PA
Zip	:	19148
Country	:	US
Telephone Number	:	215-463-5333
Fax Number	:	215-463-8085

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2006
Last Update Date	:	07/07/2023

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Directions to “ VERONICA A COVALESKY MD” Practice Location

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