Provider Demographics
NPI:1518137785
Name:FREDERICK C. FINELLI MD
Entity Type:Organization
Organization Name:FREDERICK C. FINELLI MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:C
Authorized Official - Last Name:FINELLI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-877-7788
Mailing Address - Street 1:PO BOX 630079
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21263-0079
Mailing Address - Country:US
Mailing Address - Phone:202-877-7788
Mailing Address - Fax:202-877-7790
Practice Address - Street 1:106 IRVING ST NW
Practice Address - Street 2:SUITE 3400 NORTH
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2927
Practice Address - Country:US
Practice Address - Phone:202-877-7788
Practice Address - Fax:202-877-7790
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-04
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC15293208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD183035Medicare PIN