Individual
MIROSLAV BOSCO ZOTOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
68 PHYSICIAN DR, AIKEN, SC 29801-6388
(803) 643-1090
(803) 643-8080
Mailing address
367 S GULPH RD, KING OF PRUSSIA, PA 19406-3121
(803) 643-1090
(803) 643-8080
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
19863
SC
207RP1001X
Pulmonary Disease Physician
Primary
19863
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T39882
—
SC
Enumeration date
08/27/2006
Last updated
01/13/2020
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