Provider Demographics
NPI:1225248057
Name:FURST, ANNETTE (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNETTE
Middle Name:
Last Name:FURST
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ANNETTE
Other - Middle Name:
Other - Last Name:FURST
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:60 CARLTON RD
Mailing Address - Street 2:
Mailing Address - City:WABAN
Mailing Address - State:MA
Mailing Address - Zip Code:02468-1914
Mailing Address - Country:US
Mailing Address - Phone:617-630-4470
Mailing Address - Fax:617-969-0202
Practice Address - Street 1:60 CARLTON RD
Practice Address - Street 2:
Practice Address - City:WABAN
Practice Address - State:MA
Practice Address - Zip Code:02468-1914
Practice Address - Country:US
Practice Address - Phone:617-630-4470
Practice Address - Fax:617-969-0202
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA49362102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst