Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | N003235-1 | NY |
N | 222Z00000X | Podiatrist | N003235-1 | NY |
Y | 213E00000X | Podiatrist | NJ25MD001319 | NJ |
Y | 222Z00000X | Podiatrist | NJ25MD001319 | NJ |
N | 213E00000X | Podiatrist | PO1371 | FL |
N | 222Z00000X | Podiatrist | PO1371 | FL |
NPI | 1033103700 |
---|---|
Provider Name | Dr. Jeffrey Bruce Finkel |
First Address | Brick, NJ 08723-7812 |
Second Address | Brick, NJ 08723-7812 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0088659 | GHI (01) | NJ |
0530000 | (05) | NJ |
FI3747 | (05) | NJ |
T44532 | (02) | NJ |