MEDICARE: TZVETAN TZVETANOV, INTERNAL MEDICINE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician		MA
2	207R00000X	Internal Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447237854
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TZVETAN TZVETANOV, INTERNAL MEDICINE, LLC

Provider Business Mailing Address
First Line	:	565 TURNPIKE STREET
Second Line	:	SUITE #75
City	:	NORTH ANDOVER
State	:	MA
Zip	:	01845-5936
Country	:	US
Telephone Number	:	978-722-1967
Fax Number	:

Provider Business Practice Location Address
First Line	:	565 TURNPIKE STREET
Second Line	:	SUITE #5
City	:	NORTH ANDOVER
State	:	MA
Zip	:	01845-5936
Country	:	US
Telephone Number	:	978-722-1967
Fax Number	:	978-683-6918

Authorized Official
Title or Position	:	ASSISTANT
Name	:	LISA ALBETSKI
Credential	:	MD
Telephone Number	:	978-688-1042

Provider Enumeration Date	:	12/28/2005
Last Update Date	:	05/11/2011

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