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NPI Code Detail

MEDICARE: ALAN Y TSO M.D.

MEDICARE: ALAN Y TSO M.D.
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
1208000000XPediatrics Physician25MA08841200NJ
2208000000XPediatrics Physician196000NY
3207R00000XInternal Medicine Physician196000NY
4207R00000XInternal Medicine Physician25MA08841200NJ

General Provider Information

NPI Number : 1871580647
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALAN Y TSO M.D.
Provider Business Mailing Address
First Line : 10 UNION SQUARE EAST
Second Line :
City : NEW YORK
State : NY
Zip : 10003
Country : US
Telephone Number : 212-844-8100
Fax Number :
Provider Business Practice Location Address
First Line : 741 BROADWAY
Second Line :
City : NEWARK
State : NJ
Zip : 07104-4309
Country : US
Telephone Number : 973-483-1300
Fax Number : 973-676-1396
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2005
Last Update Date : 02/25/2022

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