Doctor Name: | DR. HUNG THUY LE |
NPI Number: | 1487626859 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 44773 |
Business Practice Address: | 170 Governors Avenue Medford, MA - 021551643 |
Business Phone Number: | 7813961002 |
Business Fax Number: | 7813938718 |
Mailing Address: | 690 Canton Street, Suite 325 WESTWOOD |
State: | MA |
Postal Code: | 020902324 |
Phone Number: | 7814077713 |
Fax Number: | 7814070998 |
NPI Enumeration Date: | 02/01/2006 |
NPI Last Update Date: | 07/26/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 44773 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |