Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 41828 | CO |
Y | 2084N0402X | Child Neurologist | 233672 | MA |
N | 2084N0402X | Child Neurologist | A73767 | CA |
NPI | 1134204878 |
---|---|
Provider Name | Brian S. Tseng |
First Address | Boston, MA 02114-2621 |
Second Address | Boston, MA 02114-2621 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2006 |
Last Update Date | 09/10/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
59757248 | (05) | CO |
H95731 | (02) |