Individual
BORIS KHOLDAROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
25MA09991600
NJ
2083X0100X
Occupational Medicine Physician
287060
NY
Other
Enumeration date
01/29/2017
Last updated
01/29/2017
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