Healthcare Provider Details

I. General information

NPI: 1962586321
Provider Name (Legal Business Name): DONALD TSAY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 10/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 ROUTE 94
COLUMBIA NJ
07832-2764
US

IV. Provider business mailing address

210 ROUTE 94
COLUMBIA NJ
07832-2764
US

V. Phone/Fax

Practice location:
  • Phone: 908-362-9285
  • Fax: 908-362-7756
Mailing address:
  • Phone: 908-362-9285
  • Fax: 908-362-7756

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMA72720
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMA72720
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: