Provider Demographics
NPI:1609996594
Name:FURST, JOSEPH ANDREW JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:ANDREW
Last Name:FURST
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:4221 TUSKASEEGEE ROAD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28208
Mailing Address - Country:US
Mailing Address - Phone:704-395-0060
Mailing Address - Fax:704-971-2821
Practice Address - Street 1:4221 TUCKASEEGEE
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28208
Practice Address - Country:US
Practice Address - Phone:704-395-0060
Practice Address - Fax:704-971-2821
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2008-03-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC30551207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCD92804Medicare UPIN