Provider Demographics
NPI:1134204217
Name:FINKELSTEIN, MORRIS C (MD)
Entity type:Individual
Prefix:
First Name:MORRIS
Middle Name:C
Last Name:FINKELSTEIN
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 1:19 OLD STONE BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:COS COB
Mailing Address - State:CT
Mailing Address - Zip Code:06807-1511
Mailing Address - Country:US
Mailing Address - Phone:203-625-3182
Mailing Address - Fax:
Practice Address - Street 1:19 OLD STONE BRIDGE RD
Practice Address - Street 2:
Practice Address - City:COS COB
Practice Address - State:CT
Practice Address - Zip Code:06807-1511
Practice Address - Country:US
Practice Address - Phone:203-625-3182
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2988H207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
EO4341Medicare UPIN
CT160000719Medicare PIN