Healthcare Provider Details

I. General information

NPI: 1558363267
Provider Name (Legal Business Name): MARK A FINNO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2005
Last Update Date: 07/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

313 SPEEN ST ORTHOPEDICS NEW ENGLAND
NATICK MA
01760-1538
US

IV. Provider business mailing address

313 SPEEN STREET ORTHOPEDICS NEW ENGLAND
NATICK MA
01760
US

V. Phone/Fax

Practice location:
  • Phone: 508-655-0471
  • Fax: 508-650-3547
Mailing address:
  • Phone: 508-655-0471
  • Fax: 508-650-3547

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number215575
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: