MEDICARE: DR. MARK I FURMAN 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
1	207RC0000X	Cardiovascular Disease Physician	70673	MA

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	:	1740263672
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK I FURMAN M.D.

Provider Business Mailing Address
First Line	:	BWPO DEPARTMENT OF MEDICINE
Second Line	:	PO BOX 3775
City	:	BOSTON
State	:	MA
Zip	:	02241-3775
Country	:	US
Telephone Number	:	617-732-5500
Fax Number	:

Provider Business Practice Location Address
First Line	:	55 FOGG RD
Second Line	:	CARDIOVASCULAR CENTER AT SOUTH SHORE HOSPITAL
City	:	S WEYMOUTH
State	:	MA
Zip	:	02190-2432
Country	:	US
Telephone Number	:	781-624-8399
Fax Number	:	781-624-5425

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

Provider Enumeration Date	:	11/23/2005
Last Update Date	:	06/11/2012

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