Individual
MR. NGOC LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
363 HIGHLAND AVE, FALL RIVER, MA 02720-3703
(508) 973-7558
(508) 973-7147
Mailing address
200 MILL RD STE 180, FAIRHAVEN, MA 02719-5255
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
282453
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D87066
LICENSE
MD
Enumeration date
03/26/2015
Last updated
09/29/2020
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