Doctor Name: | DR. JEFF TZENG |
NPI Number: | 1215087275 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO, MPH |
License Number: | DOD1183 |
Business Practice Address: | Walter Reed Army Medical Ctr 6900 Georgia Ave Nw Washington, DC - 203070001 |
Business Phone Number: | 2029041794 |
Business Fax Number: | |
Mailing Address: | 851 Ireland Ave, Ireland Army Hospital FT KNOX |
State: | KY |
Postal Code: | 40121 |
Phone Number: | 5026240506 |
Fax Number: | 5026240396 |
NPI Enumeration Date: | 01/11/2007 |
NPI Last Update Date: | 08/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | DOD1183 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | HI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |