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Individual

VIVIEN NGAH-TSE TO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5450 KNOLL NORTH DR STE 250, COLUMBIA, MD 21045-2368
(410) 964-6200
(410) 964-6392
Mailing address
5450 KNOLL NORTH DR STE 250, COLUMBIA, MD 21045-2368
(410) 964-6200
(410) 964-6392

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101240541
VA
207QA0505X
Adult Medicine Physician
Primary
D0067576
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
417070900
MD
01
D0067576
MEDICAL LICENSE
Enumeration date
09/11/2006
Last updated
09/29/2021
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