PETKO PETKOV MITEV

FAIRFIELD, NJ
NPI1881981348
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: NJ  25MP00262400)
Enumeration Date2011-07-06
Last Update Date2017-01-25
Business Address
Mr. PETKO PETKOV MITEV PA-C
695 US HIGHWAY 46 SUITE 400A
FAIRFIELD, NJ 07004-1592
Phone number: 973-894-1263
Mailing Address
Mr. PETKO PETKOV MITEV PA-C
PO BOX 4059
WAYNE, NJ 07474-4059
Phone number: 973-894-1263
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