Provider Demographics
NPI:1548244569
Name:ADAMO, VINCENT (MD)
Entity Type:Individual
Prefix:
First Name:VINCENT
Middle Name:
Last Name:ADAMO
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 1:3025 S PARKER RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-2914
Mailing Address - Country:US
Mailing Address - Phone:303-481-7030
Mailing Address - Fax:303-745-7665
Practice Address - Street 1:3025 S PARKER RD
Practice Address - Street 2:SUITE 100
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-2914
Practice Address - Country:US
Practice Address - Phone:303-481-7030
Practice Address - Fax:303-745-7665
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-02
Last Update Date:2013-08-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO46430207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO22259333Medicaid
CO22259333Medicaid
COCOA108791Medicare PIN
CO40576Medicare PIN