Provider Demographics
NPI:1811080641
Name:ZAFAR, FATEEN D (MD)
Entity type:Individual
Prefix:DR
First Name:FATEEN
Middle Name:D
Last Name:ZAFAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 COOPER PLZ
Mailing Address - Street 2:SUITE 215
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1438
Mailing Address - Country:US
Mailing Address - Phone:856-342-2439
Mailing Address - Fax:856-966-0735
Practice Address - Street 1:3 COOPER PLZ
Practice Address - Street 2:SUITE 215
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1438
Practice Address - Country:US
Practice Address - Phone:856-342-2439
Practice Address - Fax:856-966-0735
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA79436207R00000X
PAMD426833207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
P3653373OtherOXFORD HEALTHPLAN
1056269OtherAETNA
P00296838OtherRAIL RAOD MEDICARE
41381OtherUNIVERSITY HEALTH PLAN
01000775700OtherAMERICHOICE
1774720OtherAMERIHEALTH PPO
1774720OtherPENNSYLVANIA BLUE SHIELD
2455775000OtherAMERIHEALTH, HMO, KEYSTONE, IBC
3K6215OtherHEALTHNET
NJ0080349Medicaid
0283342OtherCIGNA
60021863OtherHEALTH NJ HEALTH
1056269OtherAETNA
3K6215OtherHEALTHNET