Provider Demographics
NPI:1952510141
Name:ROMAN E FINN MD PA
Entity Type:Organization
Organization Name:ROMAN E FINN MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROMAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:FINN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-291-0401
Mailing Address - Street 1:22 MADISON AVE
Mailing Address - Street 2:LOWER LEVEL
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-2734
Mailing Address - Country:US
Mailing Address - Phone:201-291-0401
Mailing Address - Fax:201-291-5670
Practice Address - Street 1:22 MADISON AVE
Practice Address - Street 2:LOWER LEVEL
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-2734
Practice Address - Country:US
Practice Address - Phone:201-291-0401
Practice Address - Fax:201-291-5670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2009-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ63224207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ095892Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER