Provider Demographics
NPI:1376543223
Name:FINKELSTEIN, WARREN (MD)
Entity Type:Individual
Prefix:
First Name:WARREN
Middle Name:
Last Name:FINKELSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 HIGHLAND AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:GLEN RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07028-1527
Mailing Address - Country:US
Mailing Address - Phone:973-429-8800
Mailing Address - Fax:973-748-7076
Practice Address - Street 1:123 HIGHLAND AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:GLEN RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07028-1527
Practice Address - Country:US
Practice Address - Phone:973-429-8800
Practice Address - Fax:973-748-7076
Is Sole Proprietor?:No
Enumeration Date:2005-07-21
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA33168207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ222971684OtherHORIZON BC/BS NJ
NJ343551OtherWELL CHOICE
NJ192273Medicare ID - Type Unspecified
NJ343551OtherWELL CHOICE