Provider Demographics
NPI:1083716948
Name:KOVACS, STELLA J (PA)
Entity Type:Individual
Prefix:
First Name:STELLA
Middle Name:J
Last Name:KOVACS
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Gender:F
Credentials:PA
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Mailing Address - Street 1:8415 BELLONA LN
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21204-2055
Mailing Address - Country:US
Mailing Address - Phone:410-821-7775
Mailing Address - Fax:410-821-1320
Practice Address - Street 1:8415 BELLONA LN
Practice Address - Street 2:SUITE 201
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21204-2055
Practice Address - Country:US
Practice Address - Phone:410-821-7775
Practice Address - Fax:410-821-1320
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2011-10-03
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Provider Licenses
StateLicense IDTaxonomies
MDC0004507363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant