Healthcare Provider Details

I. General information

NPI: 1598875940
Provider Name (Legal Business Name): DONALD E FINEBERG MD PC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 W DE VARGAS ST SUITE 5
SANTA FE NM
87501-2654
US

IV. Provider business mailing address

200 W DE VARGAS ST SUITE 5
SANTA FE NM
87501-2654
US

V. Phone/Fax

Practice location:
  • Phone: 505-983-5387
  • Fax:
Mailing address:
  • Phone: 505-983-5387
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number78158
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: