Individual
ANSEL TSUNG JIN TJIN-A-TAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
4123 DUTCHMANS LN STE 606, LOUISVILLE, KY 40207-4725
(502) 896-2500
(502) 896-2527
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
125057190
IL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
48945
KY
Other
Enumeration date
08/19/2010
Last updated
09/07/2021
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