Provider Demographics
NPI:1598168510
Name:KOVATS, CARA (DACM)
Entity Type:Individual
Prefix:DR
First Name:CARA
Middle Name:
Last Name:KOVATS
Suffix:
Gender:F
Credentials:DACM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 311
Mailing Address - Street 2:
Mailing Address - City:MANASQUAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08736-0311
Mailing Address - Country:US
Mailing Address - Phone:908-489-3196
Mailing Address - Fax:
Practice Address - Street 1:75 MAIN ST STE 2
Practice Address - Street 2:
Practice Address - City:MANASQUAN
Practice Address - State:NJ
Practice Address - Zip Code:08736-2925
Practice Address - Country:US
Practice Address - Phone:908-489-3196
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-04
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00108700171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist