Healthcare Provider Details
I. General information
NPI: 1528151990
Provider Name (Legal Business Name): CHRISTINA IRENE TSIEN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/30/2006
Last Update Date: 11/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5255 LOUGHBORO RD NW BLDG A1
WASHINGTON DC
20016-2633
US
IV. Provider business mailing address
9910 FRANKLIN SQUARE DR STE 2110
BALTIMORE MD
21236-4902
US
V. Phone/Fax
- Phone: 314-747-7236
- Fax: 314-747-9557
- Phone: 410-933-6423
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085R0001X |
| Taxonomy | Radiation Oncology Physician |
| License Number | 2014038012 |
| License Number State | MO |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0001X |
| Taxonomy | Radiation Oncology Physician |
| License Number | D88476 |
| License Number State | MD |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: