MEDICARE: CINDY LEE FINE DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080A0000X	Pediatric Adolescent Medicine Physician	OS005193L	PA
2	208000000X	Pediatrics Physician	DR.0075029	CO
3	208000000X	Pediatrics Physician	0102203000	VA
4	208000000X	Pediatrics Physician	OS005193L	PA
5	208000000X	Pediatrics Physician	254811	MA
6	208000000X	Pediatrics Physician	DR.75029	CO
7	208000000X	Pediatrics Physician	CW009839	MI
8	208000000X	Pediatrics Physician	25MB11689200	NJ

General Provider Information

NPI Number	:	1144395492
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CINDY LEE FINE DO

Provider Business Mailing Address
First Line	:	2450 W HUNTING PARK AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19129-1302
Country	:	US
Telephone Number	:	989-714-8964
Fax Number	:	989-893-6819

Provider Business Practice Location Address
First Line	:	1850 9TH ST
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48708-6742
Country	:	US
Telephone Number	:	989-714-8964
Fax Number	:	989-893-6819

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/22/2006
Last Update Date	:	05/27/2026

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Directions to “ CINDY LEE FINE DO” Practice Location

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