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NPI Code Detail

MEDICARE: GLENN FURUYA M.D.

MEDICARE:   GLENN  FURUYA  M.D.
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
1207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianMD-5749HI

General Provider Information

NPI Number : 1598842858
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLENN FURUYA M.D.
Provider Business Mailing Address
First Line : 91-2135 FORT WEAVER RD STE 300
Second Line :
City : EWA BEACH
State : HI
Zip : 96706-1929
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 91-2135 FORT WEAVER RD STE 300
Second Line :
City : EWA BEACH
State : HI
Zip : 96706-1929
Country : US
Telephone Number : 808-677-6218
Fax Number : 808-677-4078
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 07/08/2007

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Directions to “ GLENN FURUYA M.D.” Practice Location

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