Healthcare Provider Details

I. General information

NPI: 1457778896
Provider Name (Legal Business Name): GRACE N. TSENG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NUAN-FANG TSENG M.D.

II. Dates (important events)

Enumeration Date: 03/24/2014
Last Update Date: 04/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 HAMILTON AVE RM B-158 ST. FRANCIS MEDICAL CENTER OFFICE OF GRADUATE MEDICAL E
TRENTON NJ
08629-1915
US

IV. Provider business mailing address

601 HAMILTON AVE
TRENTON NJ
08629-1915
US

V. Phone/Fax

Practice location:
  • Phone: 609-599-5061
  • Fax: 609-599-6232
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number25MA09765500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: