Provider Demographics
NPI:1205916020
Name:FINN, DANIEL TODD (MD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:TODD
Last Name:FINN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 WASHINGTON ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BRAINTREE
Mailing Address - State:MA
Mailing Address - Zip Code:02184-4729
Mailing Address - Country:US
Mailing Address - Phone:781-380-8150
Mailing Address - Fax:781-380-8160
Practice Address - Street 1:400 WASHINGTON ST
Practice Address - Street 2:SUITE 200
Practice Address - City:BRAINTREE
Practice Address - State:MA
Practice Address - Zip Code:02184
Practice Address - Country:US
Practice Address - Phone:781-380-8150
Practice Address - Fax:781-380-8160
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2015-08-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA155146207ND0101X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
No207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA68730OtherHARVARD PILGRIM
MASX1587OtherMEDICARE PTAN
MAJ19541OtherBLUE SHIELD
MA3189104Medicaid
G80298Medicare UPIN
MA68730OtherHARVARD PILGRIM