Healthcare Provider Details

I. General information

NPI: 1174695183
Provider Name (Legal Business Name): DR. THOMAS ZURFLUH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/14/2006
Last Update Date: 11/21/2024
Certification Date: 11/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

53 WARREN AVE APT 3
BOSTON MA
02116-6182
US

IV. Provider business mailing address

53 WARREN AVE APT 3
BOSTON MA
02116-6182
US

V. Phone/Fax

Practice location:
  • Phone: 415-378-4826
  • Fax:
Mailing address:
  • Phone: 415-378-4826
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: