Healthcare Provider Details

I. General information

NPI: 1144395492
Provider Name (Legal Business Name): CINDY LEE FINE DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CINDY FINE WILLIAMS

II. Dates (important events)

Enumeration Date: 11/22/2006
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1850 9TH ST
BAY CITY MI
48708-6742
US

IV. Provider business mailing address

2450 W HUNTING PARK AVE
PHILADELPHIA PA
19129-1302
US

V. Phone/Fax

Practice location:
  • Phone: 989-714-8964
  • Fax: 989-893-6819
Mailing address:
  • Phone: 989-714-8964
  • Fax: 989-893-6819

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License NumberOS005193L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberDR.0075029
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0102203000
License Number StateVA
# 4
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberOS005193L
License Number StatePA
# 5
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number254811
License Number StateMA
# 6
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberDR.75029
License Number StateCO
# 7
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberCW009839
License Number StateMI
# 8
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number25MB11689200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: