Provider Demographics
NPI:1316929342
Name:TSENG, JENNIFER F (MD)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:F
Last Name:TSENG
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:801 ALBANY ST FL GROUND
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02119-2560
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:830 HARRISON AVENUE
Practice Address - Street 2:MOAKLEY, SUITE 3400
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118
Practice Address - Country:US
Practice Address - Phone:617-414-8060
Practice Address - Fax:617-414-8457
Is Sole Proprietor?:No
Enumeration Date:2005-11-16
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA157375208600000X, 2086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110035835AMedicaid
NH3110220Medicaid
MAA3645901OtherMEDICARE