IVAN BORISSOW, PA-C

PA-C

Physician Assistant

NPI: 1194080374IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

C04854(MD)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2012

Contact & Hours

Via practice · 2 locations total

Address: 4940 Eastern Ave Bldg 5W
Baltimore, MD 21224
Phone: (410) 550-0942

Locations (2)

Practice Location

4940 Eastern Ave Bldg 5W, Baltimore, MD

Practice Location

5601 LOCH RAVEN BLVD, BALTIMORE, MD

Quick Facts

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

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