THEODORE SHOPOV

BURLINGTON, VT
NPI1710016373
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: VT  060-0003102)
Enumeration Date2007-03-02
Last Update Date2007-07-08
Business Address
Dr. THEODORE SHOPOV M.D.
1 SOUTH PROSPECT STREET, ARNOLD 6
BURLINGTON, VT 05401
Phone number: 802-847-4560
Mailing Address
Dr. THEODORE SHOPOV M.D.
122 N CHAMPLAIN ST APT B
BURLINGTON, VT 05401-4323
Phone number: 802-578-5021
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