MEDICARE: DR. ANTOINE E KFURI 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	207V00000X	Obstetrics & Gynecology Physician	D0021008	MD

General Provider Information

NPI Number	:	1770723728
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTOINE E KFURI M.D.,

Provider Business Mailing Address
First Line	:	2900 STONE CLIFF DR UNIT 110
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21209-3831
Country	:	US
Telephone Number	:	410-804-2425
Fax Number	:	443-352-8857

Provider Business Practice Location Address
First Line	:	2900 STONE CLIFF DR UNIT 110
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21209-3831
Country	:	US
Telephone Number	:	410-804-2425
Fax Number	:	443-352-8857

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

Provider Enumeration Date	:	03/04/2009
Last Update Date	:	03/04/2009

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