Provider Demographics
NPI:1336261601
Name:FURMAN, DENNIS A (DPM)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:A
Last Name:FURMAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 DELAIRE LANDING RD
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19114-5103
Mailing Address - Country:US
Mailing Address - Phone:215-612-1097
Mailing Address - Fax:215-612-1097
Practice Address - Street 1:2101 DELAIRE LANDING RD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19114-5103
Practice Address - Country:US
Practice Address - Phone:215-612-1097
Practice Address - Fax:215-612-1097
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2010-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC001639L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
23-2212245OtherEMPLOYER IDENTIFICATION NUMBER (EIN)
23-2212245OtherEMPLOYER IDENTIFICATION NUMBER (EIN)