THEODORE PETKOV, MD
Emergency Medicine
Active
Individual
NPI: 1184616575
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Emergency Medicine | 207P00000X | Yes | 165516 (NY) |
Frequently Asked Questions
NPI 1184616575 is the National Provider Identifier for THEODORE PETKOV, MD, a Emergency Medicine provider located in Johnson City, NY. This NPI was enumerated on August 22, 2005.
THEODORE PETKOV, MD practices at 33-57 HARRISON ST, Johnson City, NY 13790.
Quick Facts
- NPI
- 1184616575
- Type
- Individual
- Enumerated
- Aug 22, 2005
- Last Updated
- Nov 19, 2011
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