Provider Demographics
NPI:1639431190
Name:FINAN, CAROL-ANN (MSED)
Entity Type:Individual
Prefix:
First Name:CAROL-ANN
Middle Name:
Last Name:FINAN
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 MANNING AVE
Mailing Address - Street 2:
Mailing Address - City:RIVER EDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07661-2121
Mailing Address - Country:US
Mailing Address - Phone:201-262-9198
Mailing Address - Fax:201-262-9198
Practice Address - Street 1:128 MANNING AVE
Practice Address - Street 2:
Practice Address - City:RIVER EDGE
Practice Address - State:NJ
Practice Address - Zip Code:07661-2121
Practice Address - Country:US
Practice Address - Phone:201-262-9198
Practice Address - Fax:201-262-9198
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-11
Last Update Date:2012-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist