Individual
FURMAN M WALLS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 DORCHESTER AVE, DORCHESTER CENTER, MA 02124-5615
(617) 296-4000
(617) 296-9618
Mailing address
2100 DORCHESTER AVE, DORCHESTER CENTER, MA 02124-5615
(617) 296-4000
(617) 296-9618
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
73306
MA
207R00000X
Internal Medicine Physician
73306
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3077535
—
MA
Enumeration date
09/26/2005
Last updated
05/27/2014
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