| Organization Name: | LE & CHANG FAMILY URGENT CARE PC |
| NPI Number: | 1902066574 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | QUANG PHONG LE (PRESIDENT) |
| Mailing Address: | 456 Park Ave Worcester |
| State: | MA US |
| Postal Code: | 016101227 |
| Phone Number: | 5086851517 |
| Fax Number: | 5088770596 |
| NPI Enumeration Date: | 06/16/2008 |
| NPI Last Update Date: | 06/16/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 221724 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |