Provider Demographics
NPI:1053758003
Name:JOHN FURREY, MD PC
Entity type:Organization
Organization Name:JOHN FURREY, MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:A
Authorized Official - Last Name:FURREY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-995-7800
Mailing Address - Street 1:299 FAUNCE CORNER RD
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:DARTMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02747-1218
Mailing Address - Country:US
Mailing Address - Phone:508-995-7800
Mailing Address - Fax:508-995-6827
Practice Address - Street 1:299 FAUNCE CORNER RD
Practice Address - Street 2:1ST FLOOR
Practice Address - City:DARTMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02747-1218
Practice Address - Country:US
Practice Address - Phone:508-995-7800
Practice Address - Fax:508-995-6827
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-31
Last Update Date:2013-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA58586174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3033171Medicaid