Healthcare Provider Details

I. General information

NPI: 1033196308
Provider Name (Legal Business Name): FURMAN S MCDONALD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/28/2005
Last Update Date: 11/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 SPRUCE STREET SUITE 304 DUNCAN BUILDING
PHILADELPHIA PA
19106
US

IV. Provider business mailing address

700 SPRUCE STREET SUITE 304 DUNCAN BUILDING
PHILADELPHIA PA
19106
US

V. Phone/Fax

Practice location:
  • Phone: 215-829-3521
  • Fax:
Mailing address:
  • Phone: 215-829-3521
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number41206
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD453337
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: