Individual
MR. MARC ANDREW KOVALCHIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN CNS BC
Contact information
Practice address
1111 E END BLVD, WILKES BARRE, PA 18711-0030
(570) 824-3521
Mailing address
1111 E END BLVD, WILKES BARRE, PA 18711-0030
(570) 824-3521
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
CNS000155
PA
Other
Enumeration date
08/01/2013
Last updated
08/01/2013
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