Individual
GREGORY J KOVACEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
155 5TH ST NE, BARBERTON, OH 44203-3332
(330) 745-1611
Mailing address
PO BOX 30633, CLEVELAND, OH 44130-0633
(440) 879-0081
(440) 879-0084
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35-072171
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000311275
ANTHEM
OH
05
—
2127353
—
OH
Enumeration date
02/28/2006
Last updated
07/08/2007
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