Healthcare Provider Details

I. General information

NPI: 1417084294
Provider Name (Legal Business Name): FU-LI TSAI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 HENLEY AVE
NEW MILFORD NJ
07646-2947
US

IV. Provider business mailing address

140 HENLEY AVE
NEW MILFORD NJ
07646-2947
US

V. Phone/Fax

Practice location:
  • Phone: 201-599-9719
  • Fax: 201-664-9164
Mailing address:
  • Phone: 201-599-9719
  • Fax: 201-664-9164

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License NumberMA046215
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: