Provider Demographics
NPI:1699989970
Name:TSE, SHUK-KUEN (OTR)
Entity type:Individual
Prefix:MS
First Name:SHUK-KUEN
Middle Name:
Last Name:TSE
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:199 AUBURN ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02139-3828
Mailing Address - Country:US
Mailing Address - Phone:617-818-7394
Mailing Address - Fax:
Practice Address - Street 1:101 KENNEDY DR
Practice Address - Street 2:
Practice Address - City:WINTHROP
Practice Address - State:MA
Practice Address - Zip Code:02152-1932
Practice Address - Country:US
Practice Address - Phone:617-846-5509
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3041174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist