Provider Demographics
NPI:1750542809
Name:TSENG, VICTOR WEI (DO)
Entity type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:WEI
Last Name:TSENG
Suffix:
Gender:M
Credentials:DO
Other - Prefix:DR
Other - First Name:VICTOR
Other - Middle Name:WEI
Other - Last Name:TSENG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:P. O. BOX 715868
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19171-5868
Mailing Address - Country:US
Mailing Address - Phone:804-215-3063
Mailing Address - Fax:804-968-1803
Practice Address - Street 1:1717 WILL O WISP DRIVE
Practice Address - Street 2:SUITE 100
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454-3102
Practice Address - Country:US
Practice Address - Phone:757-422-8476
Practice Address - Fax:757-425-8476
Is Sole Proprietor?:No
Enumeration Date:2008-06-21
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOT012515208D00000X
VA01022025012081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice