Provider Demographics
NPI:1639320245
Name:FURMAN, STUART SPENCER
Entity Type:Individual
Prefix:DR
First Name:STUART
Middle Name:SPENCER
Last Name:FURMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 LAMBERTON RD
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CT
Mailing Address - Zip Code:06095-2129
Mailing Address - Country:US
Mailing Address - Phone:860-688-3663
Mailing Address - Fax:860-688-2111
Practice Address - Street 1:250 LAMBERTON RD
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CT
Practice Address - Zip Code:06095-2129
Practice Address - Country:US
Practice Address - Phone:860-688-3663
Practice Address - Fax:860-688-2111
Is Sole Proprietor?:No
Enumeration Date:2008-10-02
Last Update Date:2008-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT07530122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist