Individual
MARIA V BORODATCHEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9396D BALTIMORE NATIONAL PIKE, ELLICOTT CITY, MD 21042-2802
(410) 480-9110
Mailing address
PO BOX 418953, BOSTON, MA 02241-8953
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0065651
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
412670000
—
MD
Enumeration date
05/25/2007
Last updated
04/05/2018
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