Tam, Mary Wing Sum
Tam, Mary Wing Sum is an individual health care provider with primary practice located at 1097 Sw Lejeune Road , Coral Gables FL 33134. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Ophthalmology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Ophthalmology is her primary health care specialty. Tam, Mary Wing Sum can be contacted via phone (305) 442-2020.Contact Information
Primary practice address
1097 Sw Lejeune Road
Coral Gables FL 33134
Phone: (305) 442-2020
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 275696 | Massachusetts |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 960492 | New York |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | T6053 | Texas |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | ME163116 | Florida |
Profile Details
| NPI number | 1053802454 |
|---|---|
| LBN Legal business name | Tam, Mary Wing Sum |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2018 |
| Last updated | Jun 19th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053802454 | NPPES |
| Florida | MEDICAID | 119673400 |
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