Provider Demographics
NPI:1487857314
Name:TOMOV, VESSELIN T (MD)
Entity type:Individual
Prefix:
First Name:VESSELIN
Middle Name:T
Last Name:TOMOV
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:701 OSTRUM ST STE 201
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN HILL
Mailing Address - State:PA
Mailing Address - Zip Code:18015-1152
Mailing Address - Country:US
Mailing Address - Phone:215-531-1820
Mailing Address - Fax:866-289-8937
Practice Address - Street 1:701 OSTRUM ST STE 201
Practice Address - Street 2:
Practice Address - City:FOUNTAIN HILL
Practice Address - State:PA
Practice Address - Zip Code:18015-1152
Practice Address - Country:US
Practice Address - Phone:215-531-1829
Practice Address - Fax:866-289-8937
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD439862207R00000X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine