Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2081P2900X | Pain Medicine | 25MB10138100 | NJ |
Y | 2081P2900X | Pain Medicine | OS019549 | PA |
NPI | 1366818783 |
---|---|
Provider Name | Dr. Phuong Uyen Le |
First Address | Philadelphia, PA 19178-3311 |
Second Address | Allentown, PA 18103-6226 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2015 |
Last Update Date | 12/10/2018 |