MEDICARE: WILLIAM BENEDICT FURLONG JR. MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RI0200X	Infectious Disease Physician	0101047503	VA
2	207RI0200X	Infectious Disease Physician	D0030694	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376688598
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM BENEDICT FURLONG JR. MD

Provider Business Mailing Address
First Line	:	1635 NORTH GEORGE MASON DRIVE
Second Line	:	SUITE 440
City	:	ARLINGTON
State	:	VA
Zip	:	22205-3617
Country	:	US
Telephone Number	:	703-525-7600
Fax Number	:	703-516-4503

Provider Business Practice Location Address
First Line	:	1635 NORTH GEORGE MASON DRIVE
Second Line	:	SUITE 440
City	:	ARLINGTON
State	:	VA
Zip	:	22205-3617
Country	:	US
Telephone Number	:	703-525-7600
Fax Number	:	703-516-4503

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	01/17/2019

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