Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | MA074595 | NJ |
Y | 208600000X | Surgeon | MA074595 | NJ |
N | 2086S0122X | Plastic and Reconstructive Surgery | 25MA07459500 | NJ |
NPI | 1265501969 |
---|---|
Provider Name | Dr. Henry Hsia |
First Address | Tinton Falls, NJ 07701-4947 |
Second Address | New Brunswick, NJ 08901-1962 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2006 |
Last Update Date | 18/02/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0033251 | (05) | NJ |
H97253 | (02) | NJ |