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Individual

PETER KOVACS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1219 WALTER REED RD, FAYETTEVILLE, NC 28304-4437
(910) 615-3350
(910) 321-6253
Mailing address
1219 WALTER REED RD, FAYETTEVILLE, NC 28304-4437
(910) 615-3350
(910) 321-6253

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2010-01733
NC
2084N0400X
Neurology Physician
234548
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02644604
NY
01
0512831
INDEPENDENT HEALTH
NY
01
110404000053
FIDELIS
01
1184785859
UNIVERA
NY
01
1184785859
NOVA
Enumeration date
12/13/2006
Last updated
02/10/2014
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