Provider Demographics
NPI:1821470865
Name:PHIL FINOCCHIARO, MD & ASSOCIATES
Entity Type:Organization
Organization Name:PHIL FINOCCHIARO, MD & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO & OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:J
Authorized Official - Last Name:FINOCCHIARO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:603-577-9090
Mailing Address - Street 1:5 COLISEUM AVE
Mailing Address - Street 2:SUITE 307
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03063-3206
Mailing Address - Country:US
Mailing Address - Phone:603-577-9090
Mailing Address - Fax:603-577-8976
Practice Address - Street 1:5 COLISEUM AVE
Practice Address - Street 2:SUITE 307
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03063-3206
Practice Address - Country:US
Practice Address - Phone:603-577-9090
Practice Address - Fax:603-577-8976
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-26
Last Update Date:2015-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH10275207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHT300103834OtherMEDICARE PTAN