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NPI Code Detail

MEDICARE: DR. JEREMY P FINKLE M.D.

MEDICARE: DR. JEREMY P FINKLE M.D.
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
1207N00000XDermatology Physician59196MA
2207N00000XDermatology Physician7901NH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3070002679OTHERMARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1059196OTHERMATUFTS
24313OTHERMAHARVARD
493610OTHERMAAETNA
50105726Y0NH01OTHERNHANTHEM NEW HAMPSHIRE
6J07519OTHERMABCBS MASSACHUSETTS

General Provider Information

NPI Number : 1538264098
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEREMY P FINKLE M.D.
Provider Business Mailing Address
First Line : 401 ANDOVER ST
Second Line : SUITE 101
City : NORTH ANDOVER
State : MA
Zip : 01845-5076
Country : US
Telephone Number : 978-691-5690
Fax Number : 978-691-5693
Provider Business Practice Location Address
First Line : 538 TURNPIKE ST
Second Line :
City : NORTH ANDOVER
State : MA
Zip : 01845-5812
Country : US
Telephone Number : 978-683-9201
Fax Number : 978-686-2770
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2006
Last Update Date : 05/16/2013

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