Healthcare Provider Details
I. General information
NPI: 1700331196
Provider Name (Legal Business Name): JOSEPH B. FURLONG, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/16/2016
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
190 HOWARD PLACE SUITE A
LAS CRUCES NM
88011
US
IV. Provider business mailing address
1111 HAWKINS BLVD STE 2A
EL PASO TX
79925-6400
US
V. Phone/Fax
- Phone: 575-288-3216
- Fax: 575-288-3218
- Phone: 915-771-8346
- Fax: 915-771-8347
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOSEPH
BRIAN
FURLONG
Title or Position: OWNER
Credential: M.D.
Phone: 915-771-8346