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Organization

LEONARD V COVELLO MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LEONARD VINCENT COVELLO M.D. (PRESIDENT)
(219) 836-8100
Entity
Organization

Contact information

Practice address
900 RIDGE RD, SUITE E, MUNSTER, IN 46321-1726
(219) 836-8100
(219) 836-9656
Mailing address
900 RIDGE RD, SUITE E, MUNSTER, IN 46321-1726
(219) 836-8100
(219) 836-9656

Taxonomy

Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary

Other

Enumeration date
04/23/2007
Last updated
11/17/2008
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