Individual
SAMUEL KOVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-5127
(800) 789-7366
Mailing address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(215) 662-2891
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA061631
PA
Other
Enumeration date
09/21/2020
Last updated
02/08/2021
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