# ALEXANDER P. KOVANKO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1588673909
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 16416 | NH | Yes |
| 207Q00000X | Family Medicine Physician | 1920 | ME | — |

## Other

- **Enumeration date:** 08/05/2006
- **Last updated:** 06/16/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3095269 | — | NH |
| 01 | — | P01303747 | RAILROAD MEDICARE | NH |