Doctor Name: | BORIS FURMAN |
NPI Number: | 1164695011 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 25MB08358500 |
Business Practice Address: | 95 Bridge Plaza Dr Manalapan, NJ - 077261700 |
Business Phone Number: | 3476010852 |
Business Fax Number: | 7328515566 |
Mailing Address: | 95 Bridge Plaza Dr, MANALAPAN |
State: | NJ |
Postal Code: | 077261700 |
Phone Number: | 3476010852 |
Fax Number: | |
NPI Enumeration Date: | 04/10/2008 |
NPI Last Update Date: | 10/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204D00000X |
License Number: | 25MB08358500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
Taxonomy Specialization: | |
Taxonomy Definition: |