Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | MD21148 | ME |
NPI | 1013209931 |
---|---|
Provider Name | Angela Cheng-Hung Tsai |
First Address | Brewer, ME 04412-1005 |
Second Address | Bangor, ME 04401-3073 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2011 |
Last Update Date | 20/04/2020 |