Individual
DR. LI C TSAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 CAMPUS DR BLDG A, NEMOURS DUPONT PEDIATRICS, COLLEGEVILLE, COLLEGEVILLE, PA 19426-3937
(484) 565-8480
(610) 487-7942
Mailing address
P.O. BOX 191, PROVIDER ENROLLMENT DEPARTMENT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD053394L
PA
208D00000X
General Practice Physician
Primary
MD053394L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001482414
—
PA
01
—
232359401
MAIN LINE HEALTHCARE
PA
Enumeration date
02/03/2006
Last updated
02/21/2017
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