Healthcare Provider Details

I. General information

NPI: 1437755824
Provider Name (Legal Business Name): MAUREEN FINNAN RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/10/2020
Last Update Date: 12/10/2020
Certification Date: 12/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90-80 RT 206 NORTH
STANHOPE NJ
07874
US

IV. Provider business mailing address

90-80 ROUTE 206 NORTH
MT ARLINGTON NJ
07874
US

V. Phone/Fax

Practice location:
  • Phone: 973-448-1232
  • Fax: 973-448-2488
Mailing address:
  • Phone: 973-448-1232
  • Fax: 973-448-2488

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI02569700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: