Healthcare Provider Details

I. General information

NPI: 1023060480
Provider Name (Legal Business Name): SCOTT ANDREW FINK MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 04/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 E LANCASTER AVE SUITE 252
WYNNEWOOD PA
19096-3450
US

IV. Provider business mailing address

PO BOX 350
SELLERSVILLE PA
18960-0350
US

V. Phone/Fax

Practice location:
  • Phone: 610-896-7360
  • Fax: 610-896-5207
Mailing address:
  • Phone: 215-723-2333
  • Fax: 215-257-1800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberMD442357
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207RI0008X
TaxonomyHepatology Physician
License NumberMD442357
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD442357
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: