Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | D60750 | MD |
N | 2081P2900X | Pain Medicine | D60750 | MD |
NPI | 1093758419 |
---|---|
Provider Name | Dr. Robert T Tsuji |
First Address | Bel Air, MD 21014-3672 |
Second Address | Bel Air, MD 21014-4339 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 07/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
403213600 | (05) | MD |
CA8374 | R/R MEDICARE GROUP # (01) | MD |
H98003 | (02) | MD |
P00119832 | R/R MEDICARE PROVIDER # (01) | MD |