Provider Demographics
NPI:1245346113
Name:TSAI, PHILIP H (MD)
Entity type:Individual
Prefix:
First Name:PHILIP
Middle Name:H
Last Name:TSAI
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 1:185 CEDAR LANE
Mailing Address - Street 2:SUITE L-1
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666
Mailing Address - Country:US
Mailing Address - Phone:201-836-5144
Mailing Address - Fax:201-836-8210
Practice Address - Street 1:185 CEDAR LANE
Practice Address - Street 2:SUITE L-1
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666
Practice Address - Country:US
Practice Address - Phone:201-836-5144
Practice Address - Fax:201-836-8210
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA67345207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0539708Medicaid
015622Medicare ID - Type Unspecified
NJ0539708Medicaid