Provider Demographics
NPI:1831170703
Name:LE, HUY M (DO)
Entity type:Individual
Prefix:
First Name:HUY
Middle Name:M
Last Name:LE
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:32 OMEGA DR
Mailing Address - Street 2:BLDG J
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2058
Mailing Address - Country:US
Mailing Address - Phone:302-738-7054
Mailing Address - Fax:302-731-7100
Practice Address - Street 1:32 OMEGA DR
Practice Address - Street 2:BLDG J
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-2058
Practice Address - Country:US
Practice Address - Phone:302-738-7054
Practice Address - Fax:302-444-8491
Is Sole Proprietor?:No
Enumeration Date:2005-11-08
Last Update Date:2018-04-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
DEC2-0007627207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
I43340Medicare UPIN
018161T76Medicare ID - Type Unspecified