Healthcare Provider Details

I. General information

NPI: 1134204217
Provider Name (Legal Business Name): MORRIS C FINKELSTEIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 01/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 OLD STONE BRIDGE RD
COS COB CT
06807-1511
US

IV. Provider business mailing address

19 OLD STONE BRIDGE RD
COS COB CT
06807-1511
US

V. Phone/Fax

Practice location:
  • Phone: 203-625-3182
  • Fax:
Mailing address:
  • Phone: 203-625-3182
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number2988H
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: