Provider Demographics
NPI:1700105293
Name:TSAI, ELIZABETH HON-YU (DO)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:HON-YU
Last Name:TSAI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:54 MILLER ST STE 300
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169-4725
Mailing Address - Country:US
Mailing Address - Phone:617-481-3300
Mailing Address - Fax:617-481-3305
Practice Address - Street 1:110 W SQUANTUM ST
Practice Address - Street 2:
Practice Address - City:NORTH QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02171-2122
Practice Address - Country:US
Practice Address - Phone:617-376-3000
Practice Address - Fax:617-774-1906
Is Sole Proprietor?:No
Enumeration Date:2010-05-23
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB08749600207Q00000X
MA254878207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine