Healthcare Provider Details

I. General information

NPI: 1952470833
Provider Name (Legal Business Name): KAREN L FINK DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 US HIGHWAY 9
LANOKA HARBOR NJ
08734-2834
US

IV. Provider business mailing address

415 US HIGHWAY 9 P.O. BOX 395
LANOKA HARBOR NJ
08734-2834
US

V. Phone/Fax

Practice location:
  • Phone: 609-693-6919
  • Fax: 609-242-1078
Mailing address:
  • Phone: 609-693-6919
  • Fax: 609-242-1078

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number25MDOO162600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: