MR. Mario Klimentov Dimitrov, PA-C
NPI #1013939255 in Randallstown, Maryland
Provider Information
- NPI Number
- 1013939255
- Entity Type
- Individual
- Name
- MR. Mario Klimentov Dimitrov, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Jul 24, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 5401 OLD COURT ROAD
- Address 2
- NORTHWEST HOSPITAL CENTER
- City
- Randallstown
- State
- Maryland
- ZIP Code
- 21133
- Phone
- (410) 521-2200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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