Organization
STEPHEN O KOVACS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN O KOVACS MD (OWNER)
(617) 787-0400
Entity
Organization
Contact information
Practice address
61 LINCOLN ST, SUITE# 307, FRAMINGHAM, MA 01702-8264
(508) 820-0700
(508) 809-3804
Mailing address
77 WARREN ST, SUITE# 353, BRIGHTON, MA 02135-3601
(617) 787-0400
(617) 500-0976
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
208808
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11007489A
—
MA
Enumeration date
02/16/2011
Last updated
02/16/2011
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