Basic Information
Provider Information
NPI: 1609272251
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FINIGUERRA
FirstName: ROSEANN
MiddleName:  
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Mailing Information
Address1: 690 CANTON ST
Address2: SUITE 325
City: WESTWOOD
State: MA
PostalCode: 020902321
CountryCode: US
TelephoneNumber: 7814077713
FaxNumber: 7814070998
Practice Location
Address1: 365 MONTAUK AVE
Address2:  
City: NEW LONDON
State: CT
PostalCode: 063204700
CountryCode: US
TelephoneNumber: 8604420711
FaxNumber: 7814070998
Other Information
ProviderEnumerationDate: 11/10/2014
LastUpdateDate: 12/11/2014
NPIDeactivationReasonCode:  
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NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
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AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367500000X6015CTY Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 

No ID Information.


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