Provider Demographics
NPI:1386634772
Name:KOVACS, DEBORAH B (MD)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:B
Last Name:KOVACS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:321 MAIN STREET
Mailing Address - Street 2:ACTON MEDICAL ASSOCIATES, PC
Mailing Address - City:ACTON
Mailing Address - State:MA
Mailing Address - Zip Code:01720-3799
Mailing Address - Country:US
Mailing Address - Phone:978-635-8700
Mailing Address - Fax:978-635-8920
Practice Address - Street 1:321 MAIN STREET
Practice Address - Street 2:ACTON MEDICAL ASSOCIATES, PC
Practice Address - City:ACTON
Practice Address - State:MA
Practice Address - Zip Code:01720-3799
Practice Address - Country:US
Practice Address - Phone:978-635-8700
Practice Address - Fax:978-635-8920
Is Sole Proprietor?:No
Enumeration Date:2005-10-26
Last Update Date:2015-01-28
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Provider Licenses
StateLicense IDTaxonomies
MA209284207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0138801Medicaid
MAH42654Medicare UPIN
H42654Medicare UPIN
MAA32674Medicare PIN