Healthcare Provider Details

I. General information

NPI: 1851353551
Provider Name (Legal Business Name): BRIAN DONALD TSANG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2006
Last Update Date: 12/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

363 HIGHLAND AVE CHARLTON MEMORIAL HOSPITAL - EMERGENCY DEPARTMENT
FALL RIVER MA
02720-3703
US

IV. Provider business mailing address

363 HIGHLAND AVE CHARLTON MEMORIAL HOSPITAL - EMERGENCY DEPARTMENT
FALL RIVER MA
02720-3703
US

V. Phone/Fax

Practice location:
  • Phone: 508-679-7148
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number81018
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: