Basic Information
| Provider Information | |||||||||
| NPI: | 1700853603 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FUREY | ||||||||
| FirstName: | ANTHONY | ||||||||
| MiddleName: | B | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 252 CHAPMAN RD | ||||||||
| Address2: | SUITE 150 | ||||||||
| City: | NEWARK | ||||||||
| State: | DE | ||||||||
| PostalCode: | 197025436 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3023667665 | ||||||||
| FaxNumber: | 3023660734 | ||||||||
| Practice Location | |||||||||
| Address1: | 3105 LIMESTONE RD | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | WILMINGTON | ||||||||
| State: | DE | ||||||||
| PostalCode: | 198082147 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3023667665 | ||||||||
| FaxNumber: | 3023660734 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/01/2006 | ||||||||
| LastUpdateDate: | 02/20/2009 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | C20004782 | DE | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
ID Information
| ID | Type | State | Issuer | Description | 1700853603 | 05 | DE | MEDICAID |