Provider Demographics
NPI:1750101432
Name:FURGESON, JOHN ALLAN
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:ALLAN
Last Name:FURGESON
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 1:9417 MARSH POINT CT
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20882-2801
Mailing Address - Country:US
Mailing Address - Phone:301-655-9417
Mailing Address - Fax:
Practice Address - Street 1:9417 MARSH POINT CT
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20882-2801
Practice Address - Country:US
Practice Address - Phone:301-655-9417
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-16
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist