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Individual

MATTHEW S KOVAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5300 KIDSPEACE DR, OREFIELD, PA 18069-2044
(800) 854-3123
Mailing address
4085 INDEPENDENCE DR, SCHNECKSVILLE, PA 18078-2574

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
15576
SC
2084P0800X
Psychiatry Physician
Primary
MD456488
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103096080-0001
PA
05
155762
SC
Enumeration date
08/29/2006
Last updated
06/02/2017
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