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Individual
TZVETALIN A BOSHNAKOV
Active
Individual
TZVETALIN A BOSHNAKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD072903L
PA
208M00000X
Hospitalist Physician
MD072903L
PA
208M00000X
Hospitalist Physician
MD166845
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001836825
—
PA
01
—
1561071
GATEWAY
PA
01
—
30140891
AMERIHEALTH MERCY - THFP
PA
01
—
30141854
AMERIHEALTH MERCY - WMG
PA
01
—
550287
HIGHMARK BLUE SHIELD
PA
01
—
721645
UPMC
PA
01
—
P003028
GATEWAY
PA
Enumeration date
09/20/2005
Last updated
01/30/2019
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