Healthcare Provider Details

I. General information

NPI: 1548527518
Provider Name (Legal Business Name): WEI M TSENG D.P.M.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2012
Last Update Date: 04/02/2024
Certification Date: 04/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

732 HARRISON AVE PRESTON FAMILY BUILDING 5TH FLOOR
BOSTON MA
02118-2309
US

IV. Provider business mailing address

720 HARRISON AVE DOB 503
BOSTON MA
02118-2371
US

V. Phone/Fax

Practice location:
  • Phone: 617-414-6840
  • Fax: 617-414-6710
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number2430
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: