Provider Demographics
NPI:1205074580
Name:DOUGLAS A. FINCH, MD, LLC
Entity type:Organization
Organization Name:DOUGLAS A. FINCH, MD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:A
Authorized Official - Last Name:FINCH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:860-927-7963
Mailing Address - Street 1:PO BOX 1009
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:CT
Mailing Address - Zip Code:06757-1009
Mailing Address - Country:US
Mailing Address - Phone:860-927-7963
Mailing Address - Fax:860-201-1099
Practice Address - Street 1:433 KENT CORNWALL RD
Practice Address - Street 2:UNIT 1
Practice Address - City:KENT
Practice Address - State:CT
Practice Address - Zip Code:06757-1212
Practice Address - Country:US
Practice Address - Phone:860-927-7963
Practice Address - Fax:860-201-1099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-26
Last Update Date:2009-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY205842207RI0200X
CT043042207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Multi-Specialty