Individual
ANDRE KON-SANG TSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
158 MEMORIAL CT, JACKSONVILLE, NC 28546-6322
(910) 353-5111
(910) 353-2849
Mailing address
1021 DARRINGTON DR STE 101, CARY, NC 27513-8158
(919) 852-3999
(193) 789-1149
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21130
NC
207RC0000X
Cardiovascular Disease Physician
21130
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871591644
—
NC
Enumeration date
07/14/2005
Last updated
12/06/2021
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