Provider Demographics
NPI:1134570443
Name:TSENG, CHARLENE SUN (OD)
Entity type:Individual
Prefix:
First Name:CHARLENE
Middle Name:SUN
Last Name:TSENG
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:230 WEST JERSEY STREET
Mailing Address - Street 2:SUITE 201
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07202
Mailing Address - Country:US
Mailing Address - Phone:908-289-1166
Mailing Address - Fax:908-352-4752
Practice Address - Street 1:230 WEST JERSEY STREET
Practice Address - Street 2:SUITE 201
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07202
Practice Address - Country:US
Practice Address - Phone:908-289-1166
Practice Address - Fax:908-352-4752
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-28
Last Update Date:2019-06-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY008479152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist