Doctor Name: | DR. JORDAN L KOVACS |
NPI Number: | 1235167842 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DC |
License Number: | |
Business Practice Address: | 117 State Route 35 Suite 2 Eatontown, NJ - 077241885 |
Business Phone Number: | 7323892800 |
Business Fax Number: | 7323890246 |
Mailing Address: | 117 State Route 35, Suite 2 EATONTOWN |
State: | NJ |
Postal Code: | 077241885 |
Phone Number: | 7323892800 |
Fax Number: | 7323890246 |
NPI Enumeration Date: | 06/30/2006 |
NPI Last Update Date: | 01/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |