Individual ProviderLeverett Tan TsangPharmacistPharmacy Service ProvidersPractice Address8455 Fenton St Apt 522, Silver Spring, MD 20910-5044(240) 802-9843PECOS EnrollmentBased on the most recent information from CMS, provider Leverett Tan Tsang does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1750995809Provider TypeIndividualFull NameTsang, Leverett TanTitleDr.GenderMaleSole ProprietorNoEnumeration Date9/6/2020Last Updated9/6/2020Contact InformationPractice LocationPractice Address8455 Fenton St Apt 522, Silver Spring, MD 20910-5044Phone(240) 802-9843FaxUnlisted FaxMailing LocationMailing Address8455 Fenton St Apt 522, Silver Spring, MD 20910-5044Phone(240) 802-9843FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense24885Maryland