Individual
ASHA M KOVALOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
250 KING OF PRUSSIA RD, RADNOR, PA 19087-5235
(610) 902-1800
(610) 902-1804
Mailing address
250 KING OF PRUSSIA RD, 3RD FLOOR, RADNOR, PA 19087-5235
(610) 902-1800
(610) 902-1804
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25MA08853500
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
MD064789L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017002385
—
PA
Enumeration date
07/16/2006
Last updated
07/12/2012
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