Healthcare Provider Details

I. General information

NPI: 1619973492
Provider Name (Legal Business Name): RICHARD M FINKELSTEIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/25/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 S 13TH ST
PHILADELPHIA PA
19107-5917
US

IV. Provider business mailing address

1321 RODMAN ST APT 2C
PHILADELPHIA PA
19147-1011
US

V. Phone/Fax

Practice location:
  • Phone: 215-893-4811
  • Fax: 215-893-4810
Mailing address:
  • Phone: 215-893-4811
  • Fax: 215-893-4810

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License NumberMD014516E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: