Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 9651 | MD |
Y | 213EG0000X | General Practice | 9651 | MD |
NPI | 1003881582 |
---|---|
Provider Name | Dr. L. John Finamore |
First Address | Rockville, MD 20852-2913 |
Second Address | Rockville, MD 20852-4823 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2006 |
Last Update Date | 08/07/2007 |