Basic Information
| Provider Information | |||||||||
| NPI: | 1568623791 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | VIKTORSDOTTIR | ||||||||
| FirstName: | OLOF | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD, MBA | ||||||||
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| Mailing Information | |||||||||
| Address1: | YUSM- DEPT OF ANESTHESIOLOGY | ||||||||
| Address2: | 333 CEDAR ST-TMP 3 | ||||||||
| City: | NEW HAVEN | ||||||||
| State: | CT | ||||||||
| PostalCode: | 06510 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2037852802 | ||||||||
| FaxNumber: | 2037856664 | ||||||||
| Practice Location | |||||||||
| Address1: | YUSM- DEPT OF ANESTHESIOLOGY | ||||||||
| Address2: | 333 CEDAR ST-TMP 3 | ||||||||
| City: | NEW HAVEN | ||||||||
| State: | CT | ||||||||
| PostalCode: | 06510 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2037852802 | ||||||||
| FaxNumber: | 2037856664 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/20/2008 | ||||||||
| LastUpdateDate: | 08/25/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/25/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | L-233004 | MA | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207LC0200X | 69118 | CT | Y | Allopathic & Osteopathic Physicians | Anesthesiology | Critical Care Medicine |
No ID Information.