Provider Demographics
NPI:1467053009
Name:FINLEY, GEORGE W
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:W
Last Name:FINLEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 PLUM LN
Mailing Address - Street 2:
Mailing Address - City:GLASSBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08028-2958
Mailing Address - Country:US
Mailing Address - Phone:856-364-7052
Mailing Address - Fax:
Practice Address - Street 1:2080 N BLACK HORSE PIKE
Practice Address - Street 2:
Practice Address - City:WILLIAMSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08094-9128
Practice Address - Country:US
Practice Address - Phone:856-875-5841
Practice Address - Fax:856-875-1059
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-02
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02203100183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist