Individual
MR. IVAN PETROV DIMOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 FRUIT STREET, BOSTON, MA 02114
(617) 726-2000
Mailing address
834 WESTVIEW CRESCENT, NORTH VANCOUVER, BRITISH COLUMBIA V7N3Y-1
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/06/2023
Last updated
10/03/2023
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