Individual
DR. PAUL KOVATIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
784 FRANKLIN AVE, FRANKLIN LAKES, NJ 07417-1306
(844) 777-0910
Mailing address
784 FRANKLIN AVE, FRANKLIN LAKES, NJ 07417-1306
(844) 777-0910
(201) 560-0712
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
25MA05561000
NJ
207X00000X
Orthopaedic Surgery Physician
25MA05561000
NJ
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
25MA05561000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0817957
AETNA HMO #
NJ
01
—
200027488
RR MDCR #
NJ
01
—
512961
EMPIRE BC/BS #
NJ
01
—
5986397
AETNA PPO #
NJ
01
—
P409968
OXFORD #
NJ
Enumeration date
05/31/2005
Last updated
12/02/2019
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