Provider Demographics
NPI:1821025040
Name:TZENG, ALICE CHAW (MD)
Entity type:Individual
Prefix:DR
First Name:ALICE
Middle Name:CHAW
Last Name:TZENG
Suffix:
Gender:F
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:PO BOX 580
Mailing Address - Street 2:
Mailing Address - City:METUCHEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08840-0580
Mailing Address - Country:US
Mailing Address - Phone:908-412-0900
Mailing Address - Fax:908-412-0909
Practice Address - Street 1:323 MAIN ST STE E
Practice Address - Street 2:
Practice Address - City:METUCHEN
Practice Address - State:NJ
Practice Address - Zip Code:08840-2476
Practice Address - Country:US
Practice Address - Phone:908-412-0900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-26
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07608400208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0033448Medicaid
NJ621811Medicare ID - Type Unspecified
NJH92643Medicare UPIN