Provider Demographics
NPI:1356427587
Name:TSAL N. WEI, M.D., P.A.
Entity type:Organization
Organization Name:TSAL N. WEI, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TSAL
Authorized Official - Middle Name:N
Authorized Official - Last Name:WEI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-570-8899
Mailing Address - Street 1:PO BOX 889
Mailing Address - Street 2:
Mailing Address - City:OLNEY
Mailing Address - State:MD
Mailing Address - Zip Code:20830-0889
Mailing Address - Country:US
Mailing Address - Phone:301-570-8899
Mailing Address - Fax:301-570-8898
Practice Address - Street 1:18111 PRINCE PHILIP DR
Practice Address - Street 2:SUITE 104
Practice Address - City:OLNEY
Practice Address - State:MD
Practice Address - Zip Code:20832-1513
Practice Address - Country:US
Practice Address - Phone:301-570-8899
Practice Address - Fax:301-570-8898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-31
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0019215207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD185881500Medicaid
DC176891Medicare PIN
MD185881500Medicaid