Provider Demographics
NPI:1467481234
Name:FURMAN, STANLEY N (MD)
Entity Type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:N
Last Name:FURMAN
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 1:5855 BREMO RD
Mailing Address - Street 2:STE 207
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226
Mailing Address - Country:US
Mailing Address - Phone:804-237-1665
Mailing Address - Fax:804-237-1668
Practice Address - Street 1:5855 BREMO RD
Practice Address - Street 2:STE 207
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226
Practice Address - Country:US
Practice Address - Phone:804-237-1665
Practice Address - Fax:804-237-1668
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2007-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101038724207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA105837OtherANTHEM BS
VA5882915Medicaid
VA00V215S15Medicare PIN
VA5882915Medicaid