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NPI Code Detail

MEDICARE: EMILY TSENG D.O.

MEDICARE: EMILY TSENG D.O.
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
1207Q00000XFamily Medicine Physician20A14647CA

General Provider Information

NPI Number : 1871999573
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY TSENG D.O.
Provider Business Mailing Address
First Line : 3745 GROVE AVE
Second Line :
City : LORAIN
State : OH
Zip : 44055-2734
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3745 GROVE AVE
Second Line :
City : LORAIN
State : OH
Zip : 44055-2734
Country : US
Telephone Number : 440-240-1655
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2014
Last Update Date : 12/15/2022

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Directions to “ EMILY TSENG D.O.” Practice Location

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