Provider Demographics
NPI:1457778896
Name:TSENG, GRACE N (MD)
Entity type:Individual
Prefix:MS
First Name:GRACE
Middle Name:N
Last Name:TSENG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NUAN-FANG
Other - Middle Name:
Other - Last Name:TSENG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:601 HAMILTON AVE
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08629-1915
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:601 HAMILTON AVE RM B-158
Practice Address - Street 2:ST. FRANCIS MEDICAL CENTER OFFICE OF GRADUATE MEDICAL E
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08629-1915
Practice Address - Country:US
Practice Address - Phone:609-599-5061
Practice Address - Fax:609-599-6232
Is Sole Proprietor?:No
Enumeration Date:2014-03-24
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09765500207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ447089ZPCNMedicare PIN