Provider Demographics
NPI:1154325090
Name:FINKLE, ALDONA (MD)
Entity Type:Individual
Prefix:
First Name:ALDONA
Middle Name:
Last Name:FINKLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 BAKER AVENUE EXT
Mailing Address - Street 2:SUITE 301
Mailing Address - City:CONCORD
Mailing Address - State:MA
Mailing Address - Zip Code:01742-2137
Mailing Address - Country:US
Mailing Address - Phone:978-369-3317
Mailing Address - Fax:978-369-3346
Practice Address - Street 1:54 BAKER AVENUE EXT
Practice Address - Street 2:SUITE 301
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742-2137
Practice Address - Country:US
Practice Address - Phone:978-369-3317
Practice Address - Fax:978-369-3346
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2007-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA220722207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAJ28138OtherBLUE CROSS BLUE SHIELD
MA469888OtherTUFTS HEALTH PLAN
MAAA19128OtherHARVARD PILGRIM HEALTH CA
MAA37633Medicare ID - Type Unspecified
MAAA19128OtherHARVARD PILGRIM HEALTH CA