| NPI | 1104479849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD S. FURMAN President 844-310-2247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2019-07-22 |