MEDICARE: DR. ANDERSON F TSAI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	25MA03083100	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	10377	OTHER	NJ	UNIVERSITY HEALTH PLANS
2	1041160	OTHER	NJ	HORIZON NJ HEALTH
3	22194	OTHER	NJ	AMERIGROUP
4	P00267433	OTHER	NJ	PALMETTO GBA-RAILROAD MED
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	01000181800	OTHER	NJ	AMERICHOICE NEW JERSEY
7	0109862001	OTHER	NJ	AMERIHEALTH
8	0K1780	OTHER	NJ	HEALTH NET
9	P2093576	OTHER	NJ	OXFORD HEALTH PLANS

General Provider Information

NPI Number	:	1083602858
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDERSON F TSAI MD

Provider Business Mailing Address
First Line	:	319 MAIN ST
Second Line	:	STE B4
City	:	KEANSBURG
State	:	NJ
Zip	:	07734-2063
Country	:	US
Telephone Number	:	732-787-0568
Fax Number	:	732-787-0270

Provider Business Practice Location Address
First Line	:	319 MAIN ST
Second Line	:	STE B4
City	:	KEANSBURG
State	:	NJ
Zip	:	07734-2063
Country	:	US
Telephone Number	:	732-787-0568
Fax Number	:	732-787-0270

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2005
Last Update Date	:	02/03/2015

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Directions to “ DR. ANDERSON F TSAI MD” Practice Location

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