Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MD055692L | PA |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | MD055692L | PA |
NPI | 1114996121 |
---|---|
Provider Name | Dr. John Patrick Furia |
First Address | Mifflinburg, PA 17844-0111 |
Second Address | Lewisburg, PA 17837-9367 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2006 |
Last Update Date | 20/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001521728 | (05) | PA |
F84222 | (02) | PA |