Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 41522 | CO |
NPI | 1013913813 |
---|---|
Provider Name | Matthew J Furman |
First Address | Sumter, SC 29150-4167 |
Second Address | Sumter, SC 29150-4911 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2005 |
Last Update Date | 28/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G16923 | (02) |