Provider Demographics
NPI:1427190164
Name:MARFURT, JEAN ANN M (MD)
Entity Type:Individual
Prefix:DR
First Name:JEAN ANN
Middle Name:M
Last Name:MARFURT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8643 SHERIDAN DR
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-6315
Mailing Address - Country:US
Mailing Address - Phone:716-565-9030
Mailing Address - Fax:716-565-9038
Practice Address - Street 1:8643 SHERIDAN DR
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-6315
Practice Address - Country:US
Practice Address - Phone:716-565-9030
Practice Address - Fax:716-565-9038
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY171489208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics