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Individual

BORISLAV S. ANTONOV

Active
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Individual

BORISLAV S. ANTONOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

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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