Individual
BRENDAN R FURLONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3800 RESERVOIR RD NW, WASHINGTON, DC 20007-2113
(202) 444-2116
Mailing address
PO BOX 418283, BOSTON, MA 02241-8283
(703) 558-1544
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
21714
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025034900
—
DC
05
—
298670100
—
MD
01
—
75859901
BLUE SHIELD
MD
01
—
930090748
RAILROAD MED
DC
01
—
J8790001
BLUE SHIELD
DC
Enumeration date
08/18/2005
Last updated
03/06/2012
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