Individual
SOPHIA LY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-1359
Mailing address
260 TREMONT ST, BOSTON, MA 02116-5603
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
3017967
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/28/2023
Last updated
04/06/2026
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