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IVAN BORISSOW, PA-C

PA-C

Physician Assistant

NPI: 1194080374IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician Assistant

Code: 363A00000X

C04854(MD)

CMS Specialties

Education

OTHER

Class of 2012

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Contact & Hours

Address
4940 Eastern Ave Bldg 5W
Baltimore, MD 21224

Quick Facts

NPI
1194080374
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
1
Locations
2
Years in Practice
14

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