Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | MD029039E | PA |
NPI | 1023082369 |
---|---|
Provider Name | Dr. George I Chovanes |
First Address | Newtown Square, PA 19073-2304 |
Second Address | Newtown Square, PA 19073-2304 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2006 |
Last Update Date | 01/12/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B41001 | (02) | PA |