Healthcare Provider Details

I. General information

NPI: 1679664635
Provider Name (Legal Business Name): R FUERSTNER M D & M EANDI M D INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 11/14/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 CASS ST SUITE 102
MONTEREY CA
93940-4544
US

IV. Provider business mailing address

900 CASS ST SUITE 102
MONTEREY CA
93940-4544
US

V. Phone/Fax

Practice location:
  • Phone: 831-649-6204
  • Fax: 831-649-6208
Mailing address:
  • Phone: 831-649-6204
  • Fax: 831-649-6208

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: RONALD C FUERSTNER
Title or Position: PRESIDENT
Credential: MD
Phone: 831-649-6204