Provider Demographics
NPI:1457244147
Name:TSANG, SO C
Entity type:Individual
Prefix:
First Name:SO
Middle Name:C
Last Name:TSANG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 SALCOMBE ST UNIT 1
Mailing Address - Street 2:
Mailing Address - City:DORCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:02125-2029
Mailing Address - Country:US
Mailing Address - Phone:857-258-6652
Mailing Address - Fax:
Practice Address - Street 1:14 SALCOMBE ST UNIT 1
Practice Address - Street 2:
Practice Address - City:DORCHESTER
Practice Address - State:MA
Practice Address - Zip Code:02125-2029
Practice Address - Country:US
Practice Address - Phone:857-258-6652
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-31
Last Update Date:2025-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist