Healthcare Provider Details

I. General information

NPI: 1871176404
Provider Name (Legal Business Name): IRAM ZAFAR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2021
Last Update Date: 05/02/2021
Certification Date: 05/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 E MAIN ST STE 16
DENVILLE NJ
07834-2630
US

IV. Provider business mailing address

123 E MAIN ST STE 16
DENVILLE NJ
07834-2630
US

V. Phone/Fax

Practice location:
  • Phone: 973-627-3312
  • Fax: 973-586-4230
Mailing address:
  • Phone: 973-627-3312
  • Fax: 973-586-4230

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number28RW03350200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: