Provider Demographics
NPI:1669631651
Name:TSENG, MARK HSUEH (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:HSUEH
Last Name:TSENG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:921 HARVEY RD NE STE B
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98002-4294
Mailing Address - Country:US
Mailing Address - Phone:253-736-2818
Mailing Address - Fax:253-939-2376
Practice Address - Street 1:921 HARVEY RD NE STE B
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98002-4294
Practice Address - Country:US
Practice Address - Phone:253-736-2818
Practice Address - Fax:253-939-2376
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-04
Last Update Date:2021-11-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY244617208600000X
WAMD60125808208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY244617-01OtherLICENSE