Mr. IVAN BORISSOW PA-C ⚕️ Maryland 1194080374

NPI	1194080374
Entity Type	Individual
Gender	Male
Sole Proprietor ?	No
Primary Taxonomy	363A00000X Physician Assistant (Licence: MD C04854)
Enumeration Date	2012-07-12
Last Update Date	2020-05-11

Mr. IVAN BORISSOW PA-C

5601 LOCH RAVEN BLVD

BALTIMORE, MD 21239-2945

Phone number: 443-444-8000

Mr. IVAN BORISSOW PA-C

5601 LOCH RAVEN BLVD

BALTIMORE, MD 21239-2945

Phone number: 443-444-8000