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Contact Information

BORISLAV S ANTONOV, MD
424 SAVANNAH RD
LEWES, DE19958-1462
 Phone: 302-645-3555
 Fax: 302-644-3560
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for BORISLAV S ANTONOV · (Male)

NPI # 1336249804
Status Active
Credentials MD
Entity Individual
Enumeration date 09/25/2006
Last updated 03/03/2009 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • DE License # C1-0006494
  • DE License # DSL #C1-0006494
  • DE Medicaid 1336249804
  • DE Other 522011HOS BCBS OF DELAWARE-HOSPITAL
  • DE Other 591343 COVENTRY HEALTH CARE
  • DE Other 1336249804 DE PHYSICIAN CARE-MCAID
  • DE Other 1336249804 DIAMOND STATE MEDICAID
  • DE Other P00382719 RAILROAD MEDICARE
  • DE Other 000000208393 UNISON HEALTH CARE-MCAID
Hospital affiliation(s)
  • BEEBE MEDICAL CENTER - (Acute Care)
    424 SAVANNAH RD
    LEWES, DE 19958
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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