Provider Demographics
NPI:1427659358
Name:TESFAI, ZUFAN (RPH)
Entity type:Individual
Prefix:MRS
First Name:ZUFAN
Middle Name:
Last Name:TESFAI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:427 ASPEN LN
Mailing Address - Street 2:
Mailing Address - City:PHILLIPSBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08865-4136
Mailing Address - Country:US
Mailing Address - Phone:908-319-3347
Mailing Address - Fax:
Practice Address - Street 1:1300 US HIGHWAY 22
Practice Address - Street 2:
Practice Address - City:PHILLIPSBURG
Practice Address - State:NJ
Practice Address - Zip Code:08865-4108
Practice Address - Country:US
Practice Address - Phone:908-454-4047
Practice Address - Fax:908-454-4018
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-06
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28R102658500183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty