Provider Demographics
NPI:1952470833
Name:FINK, KAREN L (DPM)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:L
Last Name:FINK
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 US HIGHWAY 9
Mailing Address - Street 2:P.O. BOX 395
Mailing Address - City:LANOKA HARBOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08734-2834
Mailing Address - Country:US
Mailing Address - Phone:609-693-6919
Mailing Address - Fax:609-242-1078
Practice Address - Street 1:415 US HIGHWAY 9
Practice Address - Street 2:
Practice Address - City:LANOKA HARBOR
Practice Address - State:NJ
Practice Address - Zip Code:08734-2834
Practice Address - Country:US
Practice Address - Phone:609-693-6919
Practice Address - Fax:609-242-1078
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MDOO162600213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJFI692912Medicare ID - Type Unspecified
NJT45071Medicare UPIN