Healthcare Provider Details

I. General information

NPI: 1013954429
Provider Name (Legal Business Name): COLLEEN M FINAN-DUFFY D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/02/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36 KRESSON RD SUITE B
CHERRY HILL NJ
08034-3227
US

IV. Provider business mailing address

36 KRESSON RD SUITE B
CHERRY HILL NJ
08034-3227
US

V. Phone/Fax

Practice location:
  • Phone: 856-616-2444
  • Fax: 856-616-2376
Mailing address:
  • Phone: 856-616-2444
  • Fax: 856-616-2376

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMB63508
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: