Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | MD023557E | PA |
NPI | 1003868043 |
---|---|
Provider Name | Dr. Norman Koven |
First Address | Richboro, PA 18954-1100 |
Second Address | Richboro, PA 18954-1100 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B34597 | (02) | PA |