Provider Demographics
NPI:1801882865
Name:FINKELMAN, RICHARD (MD)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:
Last Name:FINKELMAN
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:PO BOX 412503
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-2503
Mailing Address - Country:US
Mailing Address - Phone:617-726-3884
Mailing Address - Fax:
Practice Address - Street 1:10 MEMBERS WAY STE 300
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-5933
Practice Address - Country:US
Practice Address - Phone:603-749-0913
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-26
Last Update Date:2023-11-16
Deactivation Date:2022-11-10
Deactivation Code:
Reactivation Date:2023-07-26
Provider Licenses
StateLicense IDTaxonomies
MA562012084N0400X, 2084N0600X
NH83492084N0400X, 2084N0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Not Answered2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3141799Medicaid
ME1801882865Medicaid
NHT400276639Medicare PIN
NH3083580Medicaid
MA05-00020OtherUHC
NHRE1072Medicare ID - Type UnspecifiedMEDICARE
MA3058875Medicaid
MA0003750OtherNHP
MAJ05830OtherBCBSMA
MA1092427-001OtherCIGNA
MA4465966OtherAETNA
MA11779OtherHPHC
NH0104643Y0MA01OtherANTHEM
A58588Medicare UPIN
MAJ05830Medicare ID - Type UnspecifiedMEDICARE