Provider Demographics
NPI:1255338844
Name:FINK, DAVID MITCHELL (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:MITCHELL
Last Name:FINK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:4745 OGLETOWN STANTON RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2067
Mailing Address - Country:US
Mailing Address - Phone:302-368-3257
Mailing Address - Fax:302-368-3237
Practice Address - Street 1:4745 OGLETOWN STANTON RD
Practice Address - Street 2:STE 105
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-2067
Practice Address - Country:US
Practice Address - Phone:302-368-3257
Practice Address - Fax:302-368-3237
Is Sole Proprietor?:No
Enumeration Date:2005-06-28
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DEC10004253174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEE43003Medicare UPIN
DEG01619C01Medicare ID - Type Unspecified