Provider Demographics
NPI:1275552424
Name:FINLAYSON, SAMUEL RICHARD GORDON (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:RICHARD GORDON
Last Name:FINLAYSON
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Gender:M
Credentials:MD, MPH
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Mailing Address - Street 1:1620 TREMONT ST
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02120-1613
Mailing Address - Country:US
Mailing Address - Phone:617-525-7300
Mailing Address - Fax:617-525-7723
Practice Address - Street 1:1620 TREMONT ST
Practice Address - Street 2:4TH FLOOR
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02120-1613
Practice Address - Country:US
Practice Address - Phone:617-525-7300
Practice Address - Fax:617-525-7723
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2021-10-07
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Provider Licenses
StateLicense IDTaxonomies
NH9697208600000X
MA251317208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30200836Medicaid
VT0RE4415Medicaid
NH30200836Medicaid
VT0RE4415Medicaid
NHHX1311Medicare PIN