Organization
ANDRE KS TSE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDRE KS TSE MD (PRESIDENT)
(910) 353-5111
Entity
Organization
Contact information
Practice address
158 MEMORIAL CT, JACKSONVILLE, NC 28546-6322
(910) 353-5111
(910) 353-2849
Mailing address
158 MEMORIAL CT, JACKSONVILLE, NC 28546-6322
(910) 353-5111
(910) 353-2849
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
21130
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890146W
—
NC
Enumeration date
05/22/2006
Last updated
08/22/2020
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