MEDICARE: HOWARD J TZORFAS DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	25MD00173200	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	223039166	OTHER	NJ	TAX ID
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679505911
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOWARD J TZORFAS DPM

Provider Business Mailing Address
First Line	:	PO BOX 555
Second Line	:
City	:	LEBANON
State	:	NJ
Zip	:	08833-0555
Country	:	US
Telephone Number	:	908-236-6999
Fax Number	:	908-236-0694

Provider Business Practice Location Address
First Line	:	1386 ROUTE 22 WEST
Second Line	:
City	:	LEBANON
State	:	NJ
Zip	:	08833
Country	:	US
Telephone Number	:	908-236-6999
Fax Number	:	908-236-0694

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	11/16/2011

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