Provider Demographics
NPI:1508915083
Name:FINCH, DOUGLAS A (MD)
Entity Type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:A
Last Name:FINCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1009
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:CT
Mailing Address - Zip Code:06757-1009
Mailing Address - Country:US
Mailing Address - Phone:860-927-7963
Mailing Address - Fax:860-201-1099
Practice Address - Street 1:433 KENT CORNWALL RD
Practice Address - Street 2:UNIT 1
Practice Address - City:KENT
Practice Address - State:CT
Practice Address - Zip Code:06757-1212
Practice Address - Country:US
Practice Address - Phone:860-927-7963
Practice Address - Fax:860-201-1099
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2009-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT043042207RI0200X
NY205842207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTI27371Medicare UPIN