Kovacs, Stephen O.

Kovacs, Stephen O. is an individual health care provider with primary practice located at 77 Warren St. Suite 302, Brighton MA 02135-3514. He recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as his primary health care specialty. Kovacs, Stephen O. can be contacted via phone (617) 787-0400.

Contact Information

Primary practice address
77 Warren St. Suite 302 Brighton MA 02135-3514
Phone: (617) 787-0400
Fax: (617) 500-0976
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 208808 Massachusetts

Profile Details

NPI number 1124014006
LBN Legal business name Kovacs, Stephen O.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Jan 7th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124014006 NPPES
Massachusetts MEDICAID 051131

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