Provider Demographics
NPI:1235234741
Name:FINK, MARC JOEL (DPM)
Entity type:Individual
Prefix:DR
First Name:MARC
Middle Name:JOEL
Last Name:FINK
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:801 VOLVO PKWY
Mailing Address - Street 2:SUITE 130
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-2811
Mailing Address - Country:US
Mailing Address - Phone:757-547-3668
Mailing Address - Fax:757-547-4335
Practice Address - Street 1:801 VOLVO PKWY
Practice Address - Street 2:SUITE 130
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-2811
Practice Address - Country:US
Practice Address - Phone:757-547-3668
Practice Address - Fax:757-547-4335
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VAVA0103000946213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA52#284974OtherOPTIMA INS ID
VA328129OtherALLIANCE INS ID
VA0000000380108OtherANTHEMBCBSID#
VA328129MD2OtherMAMSI INS ID
VA35353OtherCORESOURCE INS ID
VA35353OtherSENTARA HEALTH PPO ID
VA541826772OtherSTATE OF NC TEACHERSID #
VA009302824Medicaid
VA541826772OtherSEAFARERS HEALTH PLAN ID
VA009302824OtherTRICARE INS ID
VA541826772OtherMAILHANDLERS INS ID
VA541826772OtherVA HEALTH NETWORK
VA4548652/541826772OtherAETNA INS ID
VA541826772OtherUNITED HEALTHCARE IN ID
VA890706OtherFIRST HEALTH INS ID
VA541826772OtherCIGNA HEALTHCARE INS ID
VA541826772OtherHUMANA INS ID
VA328129MD2OtherMAMSI INS ID
VA541826772OtherUNITED HEALTHCARE IN ID