Individual
MARSHALL B KOVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
455 JACK MARTIN BLVD, BRICK, NJ 08724-7732
(609) 677-9729
(609) 652-6270
Mailing address
72 W JIMMIE LEEDS RD, STE.1100, MOUNT LAUREL, NJ 08054-7149
(609) 677-9729
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MA058256
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9018204
—
NJ
01
—
P00847981
RAILROAD MEDICARE
NJ
Enumeration date
06/27/2006
Last updated
04/05/2012
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