MEDICARE: DR. MARK HSUEH TSENG M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	244617	NY
2	208600000X	Surgery Physician	MD60125808	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	244617-01	OTHER	NY	LICENSE

General Provider Information

NPI Number	:	1669631651
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK HSUEH TSENG M.D

Provider Business Mailing Address
First Line	:	PO BOX 66596
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98166-0596
Country	:	US
Telephone Number	:	253-736-2818
Fax Number	:	253-939-2376

Provider Business Practice Location Address
First Line	:	921 HARVEY RD NE STE B
Second Line	:
City	:	AUBURN
State	:	WA
Zip	:	98002-4294
Country	:	US
Telephone Number	:	253-736-2818
Fax Number	:	253-939-2376

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2008
Last Update Date	:	10/04/2024

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