Provider Demographics
NPI:1053574459
Name:KOVACS, ZSUZSA ILONA (MD)
Entity type:Individual
Prefix:DR
First Name:ZSUZSA
Middle Name:ILONA
Last Name:KOVACS
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Gender:F
Credentials:MD
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Mailing Address - Street 1:62 BROWN ST
Mailing Address - Street 2:5TH FLOOR, STEWARD MEDICAL GROUP PROVIDER ENROLLMENT
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01830-6778
Mailing Address - Country:US
Mailing Address - Phone:978-722-7822
Mailing Address - Fax:978-722-7957
Practice Address - Street 1:822 BOYLSTON ST
Practice Address - Street 2:STE. 102
Practice Address - City:CHESTNUT HILL
Practice Address - State:MA
Practice Address - Zip Code:02467-2595
Practice Address - Country:US
Practice Address - Phone:617-396-8866
Practice Address - Fax:617-505-6102
Is Sole Proprietor?:No
Enumeration Date:2008-07-07
Last Update Date:2015-01-21
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Provider Licenses
StateLicense IDTaxonomies
NY249210207V00000X
MA240548207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA001319804Medicare PIN