Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | 155146 | MA |
Y | 207ND0101X | MOHS-Micrographic Surgeon | 155146 | MA |
NPI | 1205916020 |
---|---|
Provider Name | Daniel Todd Finn |
First Address | Braintree, MA 02184-4729 |
Second Address | Braintree, MA 02184 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2006 |
Last Update Date | 12/08/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3189104 | (05) | MA |
68730 | HARVARD PILGRIM (01) | MA |
G80298 | (02) | |
J19541 | BLUE SHIELD (01) | MA |
SX1587 | MEDICARE PTAN (01) | MA |