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Individual
STEPHEN GOYKOVICH
Active
Individual
STEPHEN GOYKOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS007685L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001178
FIRST PRIORITY HEALTH
PA
05
—
0012612900002
—
PA
01
—
080013499
RAILROAD MEDICARE
PA
01
—
5501338
AETNA
PA
01
—
6759-C2CE
GEISINGER HEALTH PLAN
PA
01
—
690195
BLUE SHIELD
PA
Enumeration date
03/14/2006
Last updated
07/01/2010
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