Basic Information
Provider Information
NPI: 1821380262
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FINCH
FirstName: VLADA
MiddleName: E
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3 COUNTRY CLUB LN
Address2:  
City: COLTS NECK
State: NJ
PostalCode: 077222221
CountryCode: US
TelephoneNumber: 7325707055
FaxNumber:  
Practice Location
Address1: 2624 HWY 516
Address2:  
City: OLD BRIDGE
State: NJ
PostalCode: 088572306
CountryCode: US
TelephoneNumber: 7329525000
FaxNumber: 7329525005
Other Information
ProviderEnumerationDate: 05/04/2011
LastUpdateDate: 10/27/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/27/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X0116023295VAN Student, Health CareStudent in an Organized Health Care Education/Training Program 
207Q00000X25MA09430700NJY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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