Tse, Mary M
Tse, Mary M is an individual health care provider with primary practice located at 136 Sherman Ave Ste 301, New Haven CT 06511-5210. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as her primary health care specialty. Tse, Mary M can be contacted via phone (203) 776-7458.Contact Information
Primary practice address
136 Sherman Ave Ste 301
New Haven CT 06511-5210
Phone: (203) 776-7458
Fax: (203) 776-2401
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 22781 | Connecticut |
Profile Details
| NPI number | 1003812421 |
|---|---|
| LBN Legal business name | Tse, Mary M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2005 |
| Last updated | Nov 6th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003812421 | NPPES |
| Other | C003189 | CHAMPUS | |
| Other | P522300 | CHAMPUS | |
| Other | 706941 | CHAMPUS | |
| Other | 7110607-004 | CHAMPUS | |
| Other | 160010222 | CHAMPUS | |
| Other | OV0008 | CHAMPUS | |
| Other | 010022781CT02 | CHAMPUS |
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