Basic Information
Provider Information
NPI: 1801005772
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TSANG
FirstName: BYRON
MiddleName: F
NamePrefix: DR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 47 N 3RD ST
Address2: APT 4
City: PHILADELPHIA
State: PA
PostalCode: 191064534
CountryCode: US
TelephoneNumber: 9175837282
FaxNumber:  
Practice Location
Address1: E. ERIE AVENUE AND N. FRONT STREET
Address2: ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN
City: PHILADELPHIA
State: PA
PostalCode: 19134
CountryCode: US
TelephoneNumber: 2154275366
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/21/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X243883-1NYY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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