Individual
ROSE MARIE COVALESKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1703 S BROAD ST, STE 300, PHILADELPHIA, PA 19148-1536
(215) 463-5353
(215) 463-8085
Mailing address
207 N BROAD ST, 3RD FLR CARDIOLOGY CONSULTANTS OF PHILA, PHILA, PA 19107
(215) 462-7100
(215) 463-3820
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA002765L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA002765L
LICENSE #
PA
Enumeration date
10/02/2006
Last updated
04/25/2017
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