Provider Demographics
NPI:1558324269
Name:FINBERG, HARRIS JAY (MD)
Entity Type:Individual
Prefix:
First Name:HARRIS
Middle Name:JAY
Last Name:FINBERG
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 1:3877 N 7TH ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85014-5072
Mailing Address - Country:US
Mailing Address - Phone:602-257-8118
Mailing Address - Fax:602-528-0099
Practice Address - Street 1:3877 N 7TH ST
Practice Address - Street 2:SUITE 400
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85014-5072
Practice Address - Country:US
Practice Address - Phone:602-257-8118
Practice Address - Fax:602-528-0099
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ127282085U0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ265399Medicaid
AZB75986Medicare UPIN