Provider Demographics
NPI:1245627058
Name:AW, TSUNG WAI (MD)
Entity type:Individual
Prefix:DR
First Name:TSUNG WAI
Middle Name:
Last Name:AW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:833 CHESTNUT EAST SUITE 210
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107
Mailing Address - Country:US
Mailing Address - Phone:215-955-9823
Mailing Address - Fax:215-503-6116
Practice Address - Street 1:833 CHESTNUT EAST, SUITE 210
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107
Practice Address - Country:US
Practice Address - Phone:215-955-8420
Practice Address - Fax:215-503-2856
Is Sole Proprietor?:No
Enumeration Date:2015-04-20
Last Update Date:2017-06-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMT2089082084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry