Provider Demographics
NPI:1104017516
Name:DR JEFFREY A FINE ASSOCIATES PC
Entity Type:Organization
Organization Name:DR JEFFREY A FINE ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:A
Authorized Official - Last Name:FINE
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:215-860-1144
Mailing Address - Street 1:4 TERRY DRIVE
Mailing Address - Street 2:SUITE 7
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940
Mailing Address - Country:US
Mailing Address - Phone:215-860-1144
Mailing Address - Fax:
Practice Address - Street 1:4 TERRY DRIVE
Practice Address - Street 2:SUITE 7
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940
Practice Address - Country:US
Practice Address - Phone:215-860-1144
Practice Address - Fax:215-860-9333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-09
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty