Provider Demographics
NPI:1831578517
Name:TSUI, MABLE (DO)
Entity type:Individual
Prefix:
First Name:MABLE
Middle Name:
Last Name:TSUI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:MABLE
Other - Middle Name:
Other - Last Name:CHEUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:640 S. STATE STREET
Mailing Address - Street 2:MAIL CODE 3055
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-3530
Mailing Address - Country:US
Mailing Address - Phone:302-480-1688
Mailing Address - Fax:302-480-9807
Practice Address - Street 1:401 N CARTER RD STE 201
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:DE
Practice Address - Zip Code:19977-1281
Practice Address - Country:US
Practice Address - Phone:302-514-3371
Practice Address - Fax:302-653-3876
Is Sole Proprietor?:No
Enumeration Date:2015-05-27
Last Update Date:2020-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC2-0013385204D00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM