Individual
MARY M TSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
136 SHERMAN AVE, STE 301, NEW HAVEN, CT 06511-5210
(203) 776-7458
(203) 776-2401
Mailing address
136 SHERMAN AVE, STE 301, NEW HAVEN, CT 06511-5210
(203) 776-7458
(203) 776-2401
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
22781
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010022781CT02
ANTHEM
CT
01
—
160010222
RAILROAD MEDICARE
—
01
—
706941
CONNECTICARE
CT
01
—
7110607-004
CIGNA
CT
01
—
C003189
CHAMPUS
—
01
—
OV0008
HEALTHNET
CT
01
—
P522300
OXFORD HEALTH PLAN
CT
Enumeration date
06/21/2005
Last updated
11/06/2012
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