Provider Demographics
NPI:1538264098
Name:FINKLE, JEREMY P (MD)
Entity type:Individual
Prefix:DR
First Name:JEREMY
Middle Name:P
Last Name:FINKLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:401 ANDOVER ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-5076
Mailing Address - Country:US
Mailing Address - Phone:978-691-5690
Mailing Address - Fax:978-691-5693
Practice Address - Street 1:538 TURNPIKE ST
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-5812
Practice Address - Country:US
Practice Address - Phone:978-683-9201
Practice Address - Fax:978-686-2770
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2013-05-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA59196207N00000X
NH7901207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA059196OtherTUFTS
MA4313OtherHARVARD
MA070002679OtherRAILROAD MEDICARE
MA93610OtherAETNA
NH0105726Y0NH01OtherANTHEM NEW HAMPSHIRE
MAJ07519OtherBCBS MASSACHUSETTS
NH0105726Y0NH01OtherANTHEM NEW HAMPSHIRE
MAJ07519OtherBCBS MASSACHUSETTS
B58000Medicare UPIN