Individual
DEAN BORRISOV KOSTOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12200 WARWICK BLVD, SUITE 410, NEWPORT NEWS, VA 23601-2344
(757) 534-5200
(757) 534-5830
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
0101249564
VA
Other
Enumeration date
06/28/2007
Last updated
01/20/2014
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