Basic Information
Provider Information
NPI: 1134287030
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FINKELMAN
FirstName: ELLEN
MiddleName: DENA
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
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Mailing Information
Address1: KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
Address2: 2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNIT 6 W
City: ROCKVILLE
State: MD
PostalCode: 208524808
CountryCode: US
TelephoneNumber: 3018166660
FaxNumber: 3018166308
Practice Location
Address1: 6525 BELCREST ROAD
Address2: SUITE 160
City: HYATTSVILLE
State: MD
PostalCode: 207822003
CountryCode: US
TelephoneNumber: 3012096155
FaxNumber: 3012096206
Other Information
ProviderEnumerationDate: 12/04/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XMD13077DCN Allopathic & Osteopathic PhysiciansFamily Medicine 
207Q00000XD26972MDY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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