Provider Demographics
NPI:1841342607
Name:TZAFEROS, KONSTANTINOS N JR (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KONSTANTINOS
Middle Name:N
Last Name:TZAFEROS
Suffix:JR
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 E LAUREL RD STE 1900
Mailing Address - Street 2:
Mailing Address - City:STRATFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08084-1336
Mailing Address - Country:US
Mailing Address - Phone:856-346-3535
Mailing Address - Fax:856-346-4953
Practice Address - Street 1:42 E LAUREL RD STE 1900
Practice Address - Street 2:
Practice Address - City:STRATFORD
Practice Address - State:NJ
Practice Address - Zip Code:08084-1336
Practice Address - Country:US
Practice Address - Phone:856-346-3535
Practice Address - Fax:856-346-4953
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP439247183500000X
NJ28RI03134700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist