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NPI Code Detail

MEDICARE: LARRY N. FINKELSTEIN DO

MEDICARE:   LARRY N. FINKELSTEIN  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
1207Q00000XFamily Medicine PhysicianOS006581LPA
2207QG0300XGeriatric Medicine (Family Medicine) PhysicianOS006581LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659371847
Entity Type Code : Individual
Provider Name (Legal Business Name) : LARRY N. FINKELSTEIN DO
Provider Business Mailing Address
First Line : 4190 CITY AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19131-1626
Country : US
Telephone Number : 215-871-6380
Fax Number : 215-871-6381
Provider Business Practice Location Address
First Line : 4190 CITY AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19131-1626
Country : US
Telephone Number : 215-871-6380
Fax Number : 215-871-6381
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2005
Last Update Date : 03/07/2016

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Directions to “ LARRY N. FINKELSTEIN DO” Practice Location

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