Provider Demographics
NPI:1740263672
Name:FURMAN, MARK I (MD)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:I
Last Name:FURMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:BWPO DEPARTMENT OF MEDICINE
Mailing Address - Street 2:PO BOX 3775
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-3775
Mailing Address - Country:US
Mailing Address - Phone:617-732-5500
Mailing Address - Fax:
Practice Address - Street 1:55 FOGG RD
Practice Address - Street 2:CARDIOVASCULAR CENTER AT SOUTH SHORE HOSPITAL
Practice Address - City:S WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02190-2432
Practice Address - Country:US
Practice Address - Phone:781-624-8399
Practice Address - Fax:781-624-5425
Is Sole Proprietor?:No
Enumeration Date:2005-11-23
Last Update Date:2012-06-11
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Provider Licenses
StateLicense IDTaxonomies
MA70673207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3125599Medicaid
MA3125599Medicaid
MAE59705Medicare UPIN