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Individual

DR. BEN J KOCHUVELI

Active
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Individual

DR. BEN J KOCHUVELI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
125053442
IL
207Q00000X
Family Medicine Physician
Primary
MD440944
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100727800
MEDICAID GROUP
PA
05
—
102528978
—
PA
01
—
597586
MEDICARE GROUP
PA
Enumeration date
07/10/2007
Last updated
04/11/2014
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