Individual
DR. CHARLES J KOVALCHICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
543 EASTON TPKE, LAKE ARIEL, PA 18436-4718
(570) 689-9965
(570) 689-0387
Mailing address
300 W KING ST, LITTLESTOWN, PA 17340-1446
(717) 359-9214
(717) 359-8120
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS009495L
PA
Other
Enumeration date
09/12/2005
Last updated
07/11/2023
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