Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | DS028872L | PA |
NPI | 1023084530 |
---|---|
Provider Name | Mr. Steven William Covino |
First Address | Doylestown, PA 18901 |
Second Address | Doylestown, PA 18901 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/02/2006 |
Last Update Date | 08/07/2007 |