Provider Demographics
NPI:1518947969
Name:TSAI, YVONNE MAE (MD)
Entity Type:Individual
Prefix:DR
First Name:YVONNE
Middle Name:MAE
Last Name:TSAI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 550
Mailing Address - Street 2:
Mailing Address - City:NORTH SALEM
Mailing Address - State:NH
Mailing Address - Zip Code:03073-0550
Mailing Address - Country:US
Mailing Address - Phone:603-893-2508
Mailing Address - Fax:603-893-9508
Practice Address - Street 1:472 STATE ROUTE 111
Practice Address - Street 2:
Practice Address - City:HAMPSTEAD
Practice Address - State:NH
Practice Address - Zip Code:03841-2371
Practice Address - Country:US
Practice Address - Phone:603-893-2508
Practice Address - Fax:603-893-9508
Is Sole Proprietor?:No
Enumeration Date:2006-01-20
Last Update Date:2018-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH7637207W00000X
NH157126207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3076004Medicaid
A64348Medicare UPIN
RE0631Medicare ID - Type Unspecified