Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 22781 | CT |
NPI | 1003812421 |
---|---|
Provider Name | Mary M Tse |
First Address | New Haven, CT 06511-5210 |
Second Address | New Haven, CT 06511-5210 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2005 |
Last Update Date | 06/11/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010022781CT02 | ANTHEM (01) | CT |
160010222 | RAILROAD MEDICARE (01) | |
706941 | CONNECTICARE (01) | CT |
7110607-004 | CIGNA (01) | CT |
B38715 | (02) | |
C003189 | CHAMPUS (01) | |
OV0008 | HEALTHNET (01) | CT |
P522300 | OXFORD HEALTH PLAN (01) | CT |