Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 25MA05349300 | NJ |
Y | 208600000X | Surgeon | 25MA05349300 | NJ |
NPI | 1003845223 |
---|---|
Provider Name | Matthew J. Finnegan |
First Address | Egg Harbor Township, NJ 08234-8347 |
Second Address | Egg Harbor Township, NJ 08234-8347 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2006 |
Last Update Date | 12/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E55050 | (02) |