Provider Demographics
NPI:1003131525
Name:MARFATIA, ANUJ A (RPH)
Entity Type:Individual
Prefix:MR
First Name:ANUJ
Middle Name:A
Last Name:MARFATIA
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5700 MOSHOLU AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10471-2214
Mailing Address - Country:US
Mailing Address - Phone:718-549-8288
Mailing Address - Fax:718-549-1251
Practice Address - Street 1:5700 MOSHOLU AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10471-2214
Practice Address - Country:US
Practice Address - Phone:718-549-8288
Practice Address - Fax:718-549-1251
Is Sole Proprietor?:No
Enumeration Date:2010-03-29
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY047699183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist