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General NPI Number Information
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NPI Number | 1508915083
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Entity Type | Individual
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Provider Name | DOUGLAS A FINCH M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 06/22/2009
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Provider Practice Location Address
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Address Line | 433 KENT CORNWALL RD UNIT 1
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City | KENT
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State | CT
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Zip | 06757-1212
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Country | US
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Telephone | 860-927-7963
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Fax | 860-201-1099
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Provider Business Mailing Address
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Address Line | PO BOX 1009
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City | KENT
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State | CT
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Zip | 06757-1009
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Country | US
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Telephone | 860-927-7963
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Fax | 860-201-1099
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 043042
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 205842
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License Number State | NY
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