Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207W00000X | Ophthalmologist | 25MA0640454 | NJ |
Y | 207W00000X | Ophthalmologist | MD057908L | PA |
N | 207WX0107X | Retina Specialist | 25MA0640454 | NJ |
N | 207WX0107X | Retina Specialist | MD057908L | PA |
NPI | 1013965276 |
---|---|
Provider Name | Mitchell S. Fineman |
First Address | Plymouth Meeting, PA 19462-1560 |
Second Address | Plymouth Meeting, PA 19462-1560 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2006 |
Last Update Date | 06/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G51461 | (02) |