Healthcare Provider Details

I. General information

NPI: 1083601991
Provider Name (Legal Business Name): JAMES TZENG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2005
Last Update Date: 01/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5801 ALLENTOWN RD SUITE 502
CAMP SPRINGS MD
20746-4563
US

IV. Provider business mailing address

5801 ALLENTOWN RD SUITE 502
CAMP SPRINGS MD
20746-4563
US

V. Phone/Fax

Practice location:
  • Phone: 240-427-1630
  • Fax: 240-492-2070
Mailing address:
  • Phone: 240-427-1630
  • Fax: 240-492-2070

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberD0042082
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: