Provider Demographics
NPI:1679664635
Name:R FUERSTNER M D & M EANDI M D INC
Entity Type:Organization
Organization Name:R FUERSTNER M D & M EANDI M D INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:C
Authorized Official - Last Name:FUERSTNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:831-649-6204
Mailing Address - Street 1:900 CASS ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-4544
Mailing Address - Country:US
Mailing Address - Phone:831-649-6204
Mailing Address - Fax:831-649-6208
Practice Address - Street 1:900 CASS ST
Practice Address - Street 2:SUITE 102
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-4544
Practice Address - Country:US
Practice Address - Phone:831-649-6204
Practice Address - Fax:831-649-6208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0093080Medicaid
CAGR0093080Medicaid