MEDICARE: 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

General Provider Information

NPI Number	:	1356338768
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	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	:	OWNER
Name	:	DR. ANDERSON F TSAI
Credential	:	MD
Telephone Number	:	732-787-0568

Provider Enumeration Date	:	09/30/2005
Last Update Date	:	11/28/2007

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