Provider Demographics
NPI:1821274895
Name:HENRY SCOVERN, MD
Entity Type:Organization
Organization Name:HENRY SCOVERN, MD
Other - Org Name:ALLERGY AND ASTHMA CENTER OF WYOMISSING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOVERN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-478-1737
Mailing Address - Street 1:1030 REED AVE
Mailing Address - Street 2:SUITE 108
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-2039
Mailing Address - Country:US
Mailing Address - Phone:610-478-1737
Mailing Address - Fax:610-478-1407
Practice Address - Street 1:1030 REED AVE
Practice Address - Street 2:SUITE 108
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-2039
Practice Address - Country:US
Practice Address - Phone:610-478-1737
Practice Address - Fax:610-478-1407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-21
Last Update Date:2008-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Single Specialty