Provider Demographics
NPI:1922603836
Name:FINCH, JAMES DERWOOD JR
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:DERWOOD
Last Name:FINCH
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 REPAUPO STATION RD
Mailing Address - Street 2:
Mailing Address - City:SWEDESBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08085-4409
Mailing Address - Country:US
Mailing Address - Phone:301-370-7808
Mailing Address - Fax:
Practice Address - Street 1:6110 LANDIS AVE
Practice Address - Street 2:
Practice Address - City:SEA ISLE CITY
Practice Address - State:NJ
Practice Address - Zip Code:08243-1436
Practice Address - Country:US
Practice Address - Phone:609-263-1030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-01
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03516000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist