Provider Demographics
NPI:1639130693
Name:BUCHFUHRER, MARK JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:JOSEPH
Last Name:BUCHFUHRER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:11480 BROOKSHIRE AVENUE
Mailing Address - Street 2:# 108
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-5019
Mailing Address - Country:US
Mailing Address - Phone:562-904-1101
Mailing Address - Fax:562-904-1105
Practice Address - Street 1:11480 BROOKSHIRE AVENUE
Practice Address - Street 2:# 108
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-5019
Practice Address - Country:US
Practice Address - Phone:562-904-1101
Practice Address - Fax:562-904-1105
Is Sole Proprietor?:No
Enumeration Date:2006-03-30
Last Update Date:2011-09-09
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Provider Licenses
StateLicense IDTaxonomies
CAG41254207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G412540Medicaid
CAG41254AMedicare PIN
CA00G412540Medicaid