Healthcare Provider Details

I. General information

NPI: 1770213100
Provider Name (Legal Business Name): TIFFANY TSAY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2022
Last Update Date: 01/17/2026
Certification Date: 01/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5505 HOPKINS BAYVIEW CIR TERRACE LEVEL 02
BALTIMORE MD
21224-6821
US

IV. Provider business mailing address

5505 HOPKINS BAYVIEW CIR TERRACE LEVEL 02
BALTIMORE MD
21224
US

V. Phone/Fax

Practice location:
  • Phone: 410-550-0925
  • Fax:
Mailing address:
  • Phone: 410-550-0925
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0101279963
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License NumberD0102787
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: