Provider Demographics
NPI:1518011683
Name:TSAI, HATTY L (MD)
Entity Type:Individual
Prefix:
First Name:HATTY
Middle Name:L
Last Name:TSAI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 LIBBY RD
Mailing Address - Street 2:
Mailing Address - City:NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760-5462
Mailing Address - Country:US
Mailing Address - Phone:860-308-5367
Mailing Address - Fax:
Practice Address - Street 1:185 ASYLUM ST
Practice Address - Street 2:7TH FLOOR
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06103-3408
Practice Address - Country:US
Practice Address - Phone:860-308-5367
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA56251207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine