Provider Demographics
NPI:1548443583
Name:NAUMOV, VICTOR NICHOLAS (DC)
Entity type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:NICHOLAS
Last Name:NAUMOV
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:717 PRINCETON ST
Mailing Address - Street 2:
Mailing Address - City:NEW MILFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07646-2111
Mailing Address - Country:US
Mailing Address - Phone:201-265-8688
Mailing Address - Fax:201-336-9176
Practice Address - Street 1:717 PRINCETON ST
Practice Address - Street 2:
Practice Address - City:NEW MILFORD
Practice Address - State:NJ
Practice Address - Zip Code:07646-2111
Practice Address - Country:US
Practice Address - Phone:201-265-8688
Practice Address - Fax:201-336-9176
Is Sole Proprietor?:No
Enumeration Date:2007-12-13
Last Update Date:2007-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00562900111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
043830Medicare PIN