Provider Demographics
NPI:1295863462
Name:FURST, BARRY (MD)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:
Last Name:FURST
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:STUDENT HEALTH SERVICE CSUC
Mailing Address - Street 2:400 WEST FIRST STREET
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-0777
Mailing Address - Country:US
Mailing Address - Phone:530-898-5241
Mailing Address - Fax:530-898-4057
Practice Address - Street 1:STUDENT HEALTH SERVICE CSUC
Practice Address - Street 2:400 WEST FIRST STREET
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-0777
Practice Address - Country:US
Practice Address - Phone:530-898-5241
Practice Address - Fax:530-898-4057
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG31648207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine