MEDICARE: MARY M FINEGAN 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
1	207V00000X	Obstetrics & Gynecology Physician	A76206	CA

General Provider Information

NPI Number	:	1801862297
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY M FINEGAN M.D.

Provider Business Mailing Address
First Line	:	2277 FAIR OAKS BLVD
Second Line	:	SUITE 355
City	:	SACRAMENTO
State	:	CA
Zip	:	95825-5533
Country	:	US
Telephone Number	:	916-927-3178
Fax Number	:	916-927-1488

Provider Business Practice Location Address
First Line	:	2277 FAIR OAKS BLVD
Second Line	:	SUITE 355
City	:	SACRAMENTO
State	:	CA
Zip	:	95825-5533
Country	:	US
Telephone Number	:	916-927-3178
Fax Number	:	916-927-1488

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

Provider Enumeration Date	:	02/24/2006
Last Update Date	:	11/11/2008

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