Provider Demographics
NPI:1376658559
Name:TSAI, PINF FU (MD)
Entity Type:Individual
Prefix:DR
First Name:PINF FU
Middle Name:
Last Name:TSAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 CLIFTON AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07011-2645
Mailing Address - Country:US
Mailing Address - Phone:973-546-3005
Mailing Address - Fax:973-405-6009
Practice Address - Street 1:430 CLIFTON AVE
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07011-2645
Practice Address - Country:US
Practice Address - Phone:973-546-3005
Practice Address - Fax:973-405-6009
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA29790207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0743101Medicaid
NJ0743101Medicaid
NJC54788Medicare UPIN