Provider Demographics
NPI:1669496931
Name:TSAI, JUNG TSUNG (MD)
Entity Type:Individual
Prefix:MR
First Name:JUNG
Middle Name:TSUNG
Last Name:TSAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 ELMORA AVE
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07202
Mailing Address - Country:US
Mailing Address - Phone:908-355-7659
Mailing Address - Fax:908-355-7722
Practice Address - Street 1:60 ELMORA AVE
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07202
Practice Address - Country:US
Practice Address - Phone:908-355-7659
Practice Address - Fax:908-355-7722
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03727700208600000X, 2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered208600000XAllopathic & Osteopathic PhysiciansSurgery
Not Answered2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK0776OtherACS HEALTHNET
535068OtherAETNA
NJ0761605Medicaid
18096OtherAMERIGROUP
US290OtherOXFORD HEALTH PLANS
4709300OtherGHI
0082671000OtherAMERIHEALTH
1024699OtherHORIZON NJ HEALTH
4709300OtherGHI
OK0776OtherACS HEALTHNET