Healthcare Provider Details
I. General information
NPI: 1669417929
Provider Name (Legal Business Name): FRANCIS H TSENG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/19/2006
Last Update Date: 04/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2315 MYRTLE ST SUITE 220
ERIE PA
16502-4602
US
IV. Provider business mailing address
2315 MYRTLE ST SUITE 220
ERIE PA
16502-4602
US
V. Phone/Fax
- Phone: 814-454-8185
- Fax: 814-454-3894
- Phone: 814-454-8185
- Fax: 814-454-3894
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | MD042517E |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: