MEDICARE: ALEC FUHRMAN 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	207L00000X	Anesthesiology Physician	25MA07420800	NJ

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	:	1881665156
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEC FUHRMAN MD

Provider Business Mailing Address
First Line	:	27 ROYDEN RD
Second Line	:
City	:	TENAFLY
State	:	NJ
Zip	:	07670-1010
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 W RIDGEWOOD AVE
Second Line	:
City	:	PARAMUS
State	:	NJ
Zip	:	07652-2359
Country	:	US
Telephone Number	:	201-445-1660
Fax Number	:

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

Provider Enumeration Date	:	01/27/2006
Last Update Date	:	10/21/2019

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