Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 25MB08358500 | NJ |
NPI | 1164695011 |
---|---|
Provider Name | Dr. Boris Furman |
First Address | Manalapan, NJ 07726-1700 |
Second Address | Manalapan, NJ 07726-1700 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2008 |
Last Update Date | 06/04/2021 |