Individual
JOHN SAMUEL HALCOVAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1700 SOUTH LINCOLN AVENUE, LEBANON, PA 17042
(717) 272-6621
(717) 228-6045
Mailing address
4240 ACADEMY DRIVE, HARRISBURG, PA 17112-1091
(717) 652-1139
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS-008090-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01529584
—
PA
Enumeration date
03/20/2006
Last updated
01/03/2024
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