SearchMarylandMedical Physician Assistant

Mario Dimitrov, PA-C

NPI 1013939255 · on the registry since 2006

Practice

Address
5401 Old Court Road
Northwest Hospital Center
Randallstown, MD 21133
Phone
(410) 521-2200
Organisation at this address
Bridginglife, Inc
Bridginglife, Inc.
Northwest Hospital
Carroll Health Group, Llc
Drs Hicken Cranley Taylor Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
211

Registry record

Primary taxonomy
Medical Physician Assistant
363AM0700X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland