Healthcare Provider Details

I. General information

NPI: 1679505911
Provider Name (Legal Business Name): HOWARD J TZORFAS DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 11/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1386 ROUTE 22 WEST
LEBANON NJ
08833
US

IV. Provider business mailing address

PO BOX 555
LEBANON NJ
08833-0555
US

V. Phone/Fax

Practice location:
  • Phone: 908-236-6999
  • Fax: 908-236-0694
Mailing address:
  • Phone: 908-236-6999
  • Fax: 908-236-0694

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number25MD00173200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: