Individual
DOUGLAS C FINEFROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3000 MACK RD, FAIRFIELD, OH 45014-5335
(513) 870-7001
(513) 603-8174
Mailing address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-3547
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MB09066300
NJ
207P00000X
Emergency Medicine Physician
34008054
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000316069
BCBS FAIRFIELD
OH
05
—
2424746
—
OH
01
—
P00083370
RR MEDICARE FAIRFIELD
—
Enumeration date
05/12/2006
Last updated
01/26/2021
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