Individual
BORISLAV S. ANTONOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
424 SAVANNAH RD, LEWES, DE 19958-1462
(302) 645-3525
(302) 645-3513
Mailing address
1515 SAVANNAH RD, LEWES, DE 19958-1675
(302) 645-3499
(302) 644-4830
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C1-0006494
DE
208M00000X
Hospitalist Physician
C1-0006494
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000208393
UNISON HEALTH CARE-MCAID
DE
01
—
1336249804
DIAMOND STATE MEDICAID
DE
05
—
1336249804
—
DE
01
—
522011HOS
BCBS OF DELAWARE-HOSPITAL
DE
01
—
591343
COVENTRY HEALTH CARE
DE
01
—
P00382719
RAILROAD MEDICARE
DE
Enumeration date
09/25/2006
Last updated
06/04/2025
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