Provider Demographics
NPI:1255485249
Name:NATOV, SVETLOZAR NIKOLOV (MD)
Entity Type:Individual
Prefix:DR
First Name:SVETLOZAR
Middle Name:NIKOLOV
Last Name:NATOV
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 HARWICH RD
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02467-3025
Mailing Address - Country:US
Mailing Address - Phone:617-964-5496
Mailing Address - Fax:617-964-5496
Practice Address - Street 1:136 HARWICH RD
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02467-3025
Practice Address - Country:US
Practice Address - Phone:617-964-5496
Practice Address - Fax:617-964-5496
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA152333207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Not Answered207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology