Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | D0012878 | MD |
NPI | 1003996687 |
---|---|
Provider Name | Dr. Shen-Sho Tseng |
First Address | Gaithersburg, MD 20877-1301 |
Second Address | Gaithersburg, MD 20877-1301 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C62033 | (02) |