Healthcare Provider Details

I. General information

NPI: 1528017829
Provider Name (Legal Business Name): MATURIN D FINCH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 REHABILITATION WAY
WOBURN MA
01801-6003
US

IV. Provider business mailing address

PO BOX 2200
AMHERST NH
03031-4200
US

V. Phone/Fax

Practice location:
  • Phone: 781-935-5050
  • Fax: 781-932-8152
Mailing address:
  • Phone: 603-673-9411
  • Fax: 603-673-9899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number60067
License Number StateMA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier0015590
Identifier TypeOTHER
Identifier StateMA
Identifier IssuerNEIGHBORHOOD HEALTH
# 2
Identifier134320
Identifier TypeOTHER
Identifier StateNH
Identifier IssuerHEALTHSOURCE
# 3
Identifier724361
Identifier TypeOTHER
Identifier StateMA
Identifier IssuerTUFTS HEALTH PLAN
# 4
Identifier80184
Identifier TypeOTHER
Identifier StateMA
Identifier IssuerHARVARD PILGRIM
# 5
Identifier114766
Identifier TypeOTHER
Identifier StateMA
Identifier IssuerAETNA
# 6
Identifier3096441
Identifier TypeMEDICAID
Identifier StateMA
Identifier Issuer
# 7
IdentifierJ12854
Identifier TypeOTHER
Identifier StateMA
Identifier IssuerBLUE CROSS BLUE SHIELD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: