person
Dr. Theodore Shopov, MD
Student in an Organized Health Care Education/Training Program in Burlington, Vermont
NPI 1710016373

Theodore Shopov is a Student in an Organized Health Care Education/Training Program based in Burlington, VT. Theodore Shopov practices in Burlington, VT and has the professional credentials of MD. The NPI Number for Theodore Shopov is 1710016373 and holds a License No. 060-0003102 (Vermont).

The current practice location address for Theodore Shopov is 1 South Prospect Street, Arnold 6, Burlington, VT and can be reached out via phone at 802-847-4560. You can also correspond with Theodore Shopov through the mailing address at 122 N CHAMPLAIN ST APT B, BURLINGTON, VT - 05401-4323 (mailing address contact number: 802-578-5021).

Location: 1 South Prospect Street, Arnold 6, Burlington, VT, 05401-4323
person
Provider Profile Details
NPI Number
1710016373
Provider Name
Theodore Shopov
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1 South Prospect Street, Arnold 6, Burlington, VT, 05401-4323
Phone Number
802-847-4560
Fax Number
Provider Enumeration Date
03/02/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1 South Prospect Street, Arnold 6
City
State
Zip
05401
Phone Number
802-847-4560
Fax Number
person
Provider Business Mailing Address Details
Address
1 South Prospect Street, Arnold 6
City
State
Zip
05401
Phone Number
802-847-4560
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
060-0003102 (Vermont)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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