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NPI Code Detail

MEDICARE: MS. KAREN M KOVACS N.P.

MEDICARE: MS. KAREN M KOVACS N.P.
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
1363LA2200XAdult Health Nurse Practitioner309-002004IL

General Provider Information

NPI Number : 1811986748
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KAREN M KOVACS N.P.
Provider Business Mailing Address
First Line : 545 BEDFORD ST
Second Line :
City : BRIDGEWATER
State : MA
Zip : 02324-3117
Country : US
Telephone Number : 508-697-3677
Fax Number : 508-697-9396
Provider Business Practice Location Address
First Line : 545 BEDFORD ST
Second Line :
City : BRIDGEWATER
State : MA
Zip : 02324-3117
Country : US
Telephone Number : 508-697-3677
Fax Number : 508-894-9396
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2005
Last Update Date : 06/23/2011

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