Provider Demographics
NPI:1598932626
Name:WEI, TSAL N (MD)
Entity Type:Individual
Prefix:DR
First Name:TSAL
Middle Name:N
Last Name:WEI
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:PO BOX 889
Mailing Address - Street 2:
Mailing Address - City:OLNEY
Mailing Address - State:MD
Mailing Address - Zip Code:20830-0889
Mailing Address - Country:US
Mailing Address - Phone:301-570-8899
Mailing Address - Fax:301-570-8898
Practice Address - Street 1:8875 CENTRE PARK DR
Practice Address - Street 2:SUITE D
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-2382
Practice Address - Country:US
Practice Address - Phone:301-570-8899
Practice Address - Fax:301-570-8898
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-08
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0019215207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD185881500Medicaid
C62349Medicare UPIN
MD291SMedicare PIN