Provider Demographics
NPI:1376664201
Name:FINSTON, PEGGY ANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:PEGGY
Middle Name:ANNE
Last Name:FINSTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:PEGGY
Other - Middle Name:
Other - Last Name:ARCURI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:28 GOLDEN WILLOWS AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-7519
Mailing Address - Country:US
Mailing Address - Phone:732-703-1332
Mailing Address - Fax:
Practice Address - Street 1:250 WASHINGTON ST STE B-3
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-7575
Practice Address - Country:US
Practice Address - Phone:732-703-1332
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2016-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA029447002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0464198Medicaid
NJ0464198Medicaid