Basic Information
| Provider Information | |||||||||
| NPI: | 1952739427 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MATTHEW J FURMAN, D.O. LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 112 W D ST | ||||||||
| Address2: | SUITE 210 A | ||||||||
| City: | PUEBLO | ||||||||
| State: | CO | ||||||||
| PostalCode: | 810033461 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7195437877 | ||||||||
| FaxNumber: | 7195437882 | ||||||||
| Practice Location | |||||||||
| Address1: | 112 W D ST | ||||||||
| Address2: | SUITE 210 A | ||||||||
| City: | PUEBLO | ||||||||
| State: | CO | ||||||||
| PostalCode: | 810033461 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7195437877 | ||||||||
| FaxNumber: | 7195437882 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/21/2013 | ||||||||
| LastUpdateDate: | 06/20/2018 | ||||||||
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| AuthorizedOfficialLastName: | FURMAN | ||||||||
| AuthorizedOfficialFirstName: | MATTHEW | ||||||||
| AuthorizedOfficialMiddleName: | J | ||||||||
| AuthorizedOfficialTitleorPosition: | DO | ||||||||
| AuthorizedOfficialTelephone: | 7195437877 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | D.O. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208VP0000X | 41522 | CO | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Pain Medicine | Pain Medicine |
No ID Information.