Basic Information
| Provider Information | |||||||||
| NPI: | 1558026559 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FINNEGAN | ||||||||
| FirstName: | JAMES | ||||||||
| MiddleName: | PATRICK | ||||||||
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| Mailing Information | |||||||||
| Address1: | 60 BRENTWOOD CT | ||||||||
| Address2: | |||||||||
| City: | HANOVER | ||||||||
| State: | PA | ||||||||
| PostalCode: | 173313449 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7174764168 | ||||||||
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| Practice Location | |||||||||
| Address1: | 532 BALTIMORE BLVD STE 101 | ||||||||
| Address2: | |||||||||
| City: | WESTMINSTER | ||||||||
| State: | MD | ||||||||
| PostalCode: | 211576118 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6673672778 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/03/2021 | ||||||||
| LastUpdateDate: | 11/03/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 11/03/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 133V00000X | DX5492 | MD | Y | Dietary & Nutritional Service Providers | Dietitian, Registered |
No ID Information.