Provider Demographics
NPI:1821002056
Name:GOLDFINGER, MICHAEL P (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:P
Last Name:GOLDFINGER
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 1:324 GANNETT DR STE 200
Mailing Address - Street 2:
Mailing Address - City:SOUTH PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04106-3266
Mailing Address - Country:US
Mailing Address - Phone:207-748-2878
Mailing Address - Fax:207-956-6676
Practice Address - Street 1:324 GANNETT DR STE 200
Practice Address - Street 2:
Practice Address - City:SOUTH PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04106
Practice Address - Country:US
Practice Address - Phone:207-482-7800
Practice Address - Fax:207-482-7898
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2018-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH187322085R0202X
MEMD221082085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2107112Medicaid
MAAA45408OtherHARVARD PILGRIM
MA472128OtherTUFTS HEALTH PLAN
MAJ29149OtherBLUE SHIELD
MA2107112Medicaid
MAI32180Medicare UPIN