Basic Information
Provider Information
NPI: 1861433112
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FINEBERG
FirstName: STEVEN
MiddleName: LEE
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 248 N UNION ST
Address2:  
City: LAMBERTVILLE
State: NJ
PostalCode: 085301506
CountryCode: US
TelephoneNumber: 6093977970
FaxNumber:  
Practice Location
Address1: 3200 PROVIDENCE DRIVE
Address2: PROVIDENCE AK MEDICAL CENTER, DEPT OF EMERGENCY SERVICE
City: ANCHORAGE
State: AK
PostalCode: 99508
CountryCode: US
TelephoneNumber: 9072613111
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/09/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X5758AKY Allopathic & Osteopathic PhysiciansEmergency Medicine 
207P00000XA62677CAN Allopathic & Osteopathic PhysiciansEmergency Medicine 
207P00000XMD12007HIN Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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