Individual
SUSAN C KOVACS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
LAHEY CLINIC, 41 MALL ROAD, BURLINGTON, MA 01805-0001
(781) 744-5100
Mailing address
LAHEY CLINIC, 41 MALL ROAD, BURLINGTON, MA 01805-0001
(781) 744-5100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
208809
MA
207RR0500X
Rheumatology Physician
Primary
208809
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0144657
—
MA
05
—
110003705A
—
MA
Enumeration date
09/20/2006
Last updated
11/16/2010
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