Provider Demographics
NPI:1487626859
Name:LE, HUNG THUY (MD)
Entity Type:Individual
Prefix:DR
First Name:HUNG
Middle Name:THUY
Last Name:LE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:690 CANTON STREET
Mailing Address - Street 2:SUITE 325
Mailing Address - City:WESTWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02090-2324
Mailing Address - Country:US
Mailing Address - Phone:781-407-7713
Mailing Address - Fax:781-407-0998
Practice Address - Street 1:170 GOVERNORS AVENUE
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02155-1643
Practice Address - Country:US
Practice Address - Phone:781-396-1002
Practice Address - Fax:781-393-8718
Is Sole Proprietor?:No
Enumeration Date:2006-02-01
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA44773207L00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA977339OtherNETWORK HEALTH
MALE J04721OtherBLUE CROSS & BLUE SHIELD
MA044773OtherTUFTS ASSOCIATED HEALTH
050081531OtherRAILROAD MEDICARE
MDAA29727OtherHARVARD PILGRIM HEALTH
MA3000613Medicaid
B87185Medicare UPIN
MA3000613Medicaid
MAJ0472102Medicare PIN