Individual
DR. DESSISLAVA I DIMITROVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D, PHD
Contact information
Practice address
1401 WHITEHORSE MERCERVILLE ROAD, SUITE 219, HAMILTON, NJ 08619-3834
(609) 587-5150
(609) 584-5144
Mailing address
1401 WHITEHORSE MERCERVILLE RD STE 219, HAMILTON, NJ 08619-3835
(609) 584-5150
(609) 815-5150
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA08265100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0137294
—
NJ
Enumeration date
06/19/2007
Last updated
04/26/2021
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