Provider Demographics
NPI:1356338768
Name:ANDERSON F TSAI MD
Entity type:Organization
Organization Name:ANDERSON F TSAI MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDERSON
Authorized Official - Middle Name:F
Authorized Official - Last Name:TSAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-787-0568
Mailing Address - Street 1:319 MAIN ST
Mailing Address - Street 2:STE B4
Mailing Address - City:KEANSBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:07734-2063
Mailing Address - Country:US
Mailing Address - Phone:732-787-0568
Mailing Address - Fax:732-787-0270
Practice Address - Street 1:319 MAIN ST
Practice Address - Street 2:STE B4
Practice Address - City:KEANSBURG
Practice Address - State:NJ
Practice Address - Zip Code:07734-2063
Practice Address - Country:US
Practice Address - Phone:732-787-0568
Practice Address - Fax:732-787-0270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-30
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03083100207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty