Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 157375 | MA |
N | 208600000X | Surgeon | 157375 | MA |
Y | 2086X0206X | Surgical Oncologist | 157375 | MA |
NPI | 1316929342 |
---|---|
Provider Name | Dr. Jennifer F Tseng |
First Address | Boston, MA 02119-2560 |
Second Address | Boston, MA 02118 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2005 |
Last Update Date | 22/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
110035835A | (05) | MA |
3110220 | (05) | NH |
I01256 | (02) | MA |