Provider Demographics
NPI:1497174833
Name:FURFARO, DAWN (MAC, LAC)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:FURFARO
Suffix:
Gender:F
Credentials:MAC, LAC
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:
Other - Last Name:FURFARO-STRODE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MAC, LAC
Mailing Address - Street 1:5711 CEDAR LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-2912
Mailing Address - Country:US
Mailing Address - Phone:914-490-7188
Mailing Address - Fax:
Practice Address - Street 1:8955 GUILFORD RD
Practice Address - Street 2:SUITE 240
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-2651
Practice Address - Country:US
Practice Address - Phone:443-393-2650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-14
Last Update Date:2014-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU02150171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist