Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES J KOVALCHICK, DO
ActiveFamily Medicine · LAKE ARIEL, PA
Registration Details
- NPI Number
- 1144215682
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 12, 2005 (20.631898931839 yrs)
- Last Updated
- Jul 11, 2023
- License
-
OS009495L (PA)
Practice Information
- Address
-
543 EASTON TPKELAKE ARIEL, PA, 184364718Browse PA providers · Browse ZIP 18436
- Phone
- 5706899965
- Fax
- 5706890387
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in LAKE ARIEL, PA
| Name | Credential | NPI |
|---|---|---|
| DEREK JAY BOWERS | M.D. | 1871933465 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.