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Individual

BRENDAN R FURLONG

Active
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Individual

BRENDAN R FURLONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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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