IVAN BORISSOW

BALTIMORE, MD
NPI1194080374
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MD  C04854)
Enumeration Date2012-07-12
Last Update Date2020-05-11
Business Address
Mr. IVAN BORISSOW PA-C
5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239-2945
Phone number: 443-444-8000
Mailing Address
Mr. IVAN BORISSOW PA-C
5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239-2945
Phone number: 443-444-8000
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