Provider Demographics
NPI:1700043668
Name:ADAMOV, VICTOR I (MD PHD)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:I
Last Name:ADAMOV
Suffix:
Gender:M
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 COOPER PLZ
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1461
Mailing Address - Country:US
Mailing Address - Phone:856-968-7330
Mailing Address - Fax:856-968-8326
Practice Address - Street 1:1 COOPER PLAZA
Practice Address - Street 2:ANESTHESIOLOGY DEPARTMENT
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1489
Practice Address - Country:US
Practice Address - Phone:856-968-7330
Practice Address - Fax:856-968-8326
Is Sole Proprietor?:No
Enumeration Date:2008-05-19
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08056200207LC0200X
PAMD433567207LP2900X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LC0200XAllopathic & Osteopathic PhysiciansAnesthesiologyCritical Care Medicine
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine