1144339201 NPI number — DR. CLARA NAIDINE FINCH CRUZ M.D.

Table of content: DR. CLARA NAIDINE FINCH CRUZ M.D. (NPI 1144339201)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144339201 NPI number — DR. CLARA NAIDINE FINCH CRUZ M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FINCH CRUZ
Provider First Name:
CLARA
Provider Middle Name:
NAIDINE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FINCH
Provider Other First Name:
CLARA
Provider Other Middle Name:
NAIDINE
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.D.
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1144339201
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
26 LAUREL MOUNTAIN WAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CALIFON
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07830-3027
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
973-676-1000
Provider Business Mailing Address Fax Number:
973-395-7126

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
385 TREMONT AVE
Provider Second Line Business Practice Location Address:
DEPT. PATHOLOGY AND LABORATORY MEDICINE
Provider Business Practice Location Address City Name:
EAST ORANGE
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07018-1023
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-676-1000
Provider Business Practice Location Address Fax Number:
973-395-7126
Provider Enumeration Date:
08/30/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207ZH0000X , with the licence number:  31882 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 207ZP0102X , with the licence number: 31882 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

Other Provider's Identifiers (legacy, non-NPI)