Provider Demographics
NPI:1528017829
Name:FINCH, MATURIN D (MD)
Entity Type:Individual
Prefix:
First Name:MATURIN
Middle Name:D
Last Name:FINCH
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:PO BOX 2200
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NH
Mailing Address - Zip Code:03031-4200
Mailing Address - Country:US
Mailing Address - Phone:603-673-9411
Mailing Address - Fax:603-673-9899
Practice Address - Street 1:2 REHABILITATION WAY
Practice Address - Street 2:
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-6003
Practice Address - Country:US
Practice Address - Phone:781-935-5050
Practice Address - Fax:781-932-8152
Is Sole Proprietor?:No
Enumeration Date:2006-05-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA60067208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0015590OtherNEIGHBORHOOD HEALTH
NH134320OtherHEALTHSOURCE
MA724361OtherTUFTS HEALTH PLAN
MA80184OtherHARVARD PILGRIM
MA114766OtherAETNA
MA3096441Medicaid
MAJ12854OtherBLUE CROSS BLUE SHIELD
MA80184OtherHARVARD PILGRIM
F33450Medicare UPIN
650007316Medicare ID - Type UnspecifiedRAILROAD MEDICARE