Individual
DR. BEN J KOCHUVELI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8 HUNTINGDON PIKE, 100, ROCKLEDGE, PA 19046-4338
(215) 663-8880
(215) 663-8898
Mailing address
8 HUNTINGDON PIKE, 100, ROCKLEDGE, PA 19046-4338
(215) 663-8880
(215) 663-8898
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
125053442
IL
207Q00000X
Family Medicine Physician
Primary
MD440944
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100727800
MEDICAID GROUP
PA
05
—
102528978
—
PA
01
—
597586
MEDICARE GROUP
PA
Enumeration date
07/10/2007
Last updated
04/11/2014
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