Provider Demographics
NPI:1306806872
Name:ABDOW, VICTOR PETER JR (MD)
Entity type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:PETER
Last Name:ABDOW
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:11125 ROCKVILLE PIKE
Mailing Address - Street 2:SUITE # 307
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-3142
Mailing Address - Country:US
Mailing Address - Phone:301-468-6171
Mailing Address - Fax:301-468-6172
Practice Address - Street 1:11125 ROCKVILLE PIKE
Practice Address - Street 2:SUITE # 307
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-3142
Practice Address - Country:US
Practice Address - Phone:301-468-6171
Practice Address - Fax:301-468-6172
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-27
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MDD0050319208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
H68194Medicare UPIN
MD00B329A66Medicare ID - Type Unspecified