person
Mr. Mario Klimentov Dimitrov, PA-C
Medical Physician Assistant in Randallstown, Maryland
NPI 1013939255

Mario Klimentov Dimitrov is a Medical Physician Assistant based in Randallstown, MD and is specialized in Medical. Mario Klimentov Dimitrov practices in Randallstown, MD and has the professional credentials of PA-C. The NPI Number for Mario Klimentov Dimitrov is 1013939255 and holds a License No. C0002204 (Maryland).

The current practice location address for Mario Klimentov Dimitrov is 5401 Old Court Road, Randallstown, MD and can be reached out via phone at 410-521-2200.

Location: 5401 Old Court Road, Randallstown, MD, 21133-5103
person
Provider Profile Details
NPI Number
1013939255
Provider Name
Mario Klimentov Dimitrov
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
5401 Old Court Road, Randallstown, MD, 21133-5103
Phone Number
410-521-2200
Fax Number
Provider Enumeration Date
07/24/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
5401 Old Court Road
City
State
Zip
21133
Phone Number
410-521-2200
Fax Number
person
Provider Business Mailing Address Details
Address
5401 Old Court Road
City
State
Zip
21133
Phone Number
410-521-2200
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
C0002204 (Maryland)
Definition
Definition to come...
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