Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 26318 | AL |
NPI | 1013951623 |
---|---|
Provider Name | Samuel Edwin Fineberg |
First Address | Birmingham, AL 35255-5310 |
Second Address | Birmingham, AL 35233 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2006 |
Last Update Date | 20/07/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009997625 | (05) | AL |
009997635 | (05) | AL |
051528113 | BLUE CROSS (01) | AL |
051528114 | BLUE CROSS (01) | AL |
B76584 | VIVA (01) | AL |