Healthcare Provider Details

I. General information

NPI: 1033189006
Provider Name (Legal Business Name): MARTIN A FINKEL D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2006
Last Update Date: 12/11/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42 LAUREL RD E UDP #1100
STRATFORD NJ
08084-1354
US

IV. Provider business mailing address

42 E LAUREL RD UDP #1100
STRATFORD NJ
08084-1354
US

V. Phone/Fax

Practice location:
  • Phone: 856-566-7036
  • Fax: 856-566-6108
Mailing address:
  • Phone: 856-566-7036
  • Fax: 856-566-6108

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMB03595100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: