MARIO KLIMENTOV DIMITROV

RANDALLSTOWN, MD
NPI1013939255
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: MD  C0002204)
Enumeration Date2006-07-24
Last Update Date2007-07-08
Business Address
Mr. MARIO KLIMENTOV DIMITROV PA-C
5401 OLD COURT ROAD NORTHWEST HOSPITAL CENTER
RANDALLSTOWN, MD 21133
Phone number: 410-521-2200
Mailing Address
Mr. MARIO KLIMENTOV DIMITROV PA-C
5401 OLD COURT RD ATTN: CREDENTIALING
RANDALLSTOWN, MD 21133-5103
Phone number: 410-601-5524
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