Organization
DR PAUL J KOVALCIK M.D. LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL JEROME KOVALCIK (DR)
(757) 686-2687
Entity
Organization
Contact information
Practice address
3105 AMERICAN LEGION RD, SUITE A, CHESAPEAKE, VA 23321-5654
(757) 686-2687
(757) 484-1682
Mailing address
3105 AMERICAN LEGION ROAD, SUITE A, CHESAPEAKE, VA 23321-5653
(757) 686-2687
(757) 484-1682
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101032355
VA
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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