Provider Demographics
NPI:1740237221
Name:ROBERT A. FINK, MD, FACS, PC
Entity type:Organization
Organization Name:ROBERT A. FINK, MD, FACS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:FINK
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:510-849-2555
Mailing Address - Street 1:2500 MILVIA ST
Mailing Address - Street 2:SUITE 222
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94704-2636
Mailing Address - Country:US
Mailing Address - Phone:510-849-2555
Mailing Address - Fax:510-849-2557
Practice Address - Street 1:2500 MILVIA ST
Practice Address - Street 2:SUITE 222
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94704-2636
Practice Address - Country:US
Practice Address - Phone:510-849-2555
Practice Address - Fax:510-849-2557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-28
Last Update Date:2007-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG11874207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA38470Medicare UPIN