Organization
BOSTON MEDICAL GROUP-NEW JERSEY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOM L. LE M.D. (MEDICAL DIRECTOR)
(818) 808-2828
Entity
Organization
Contact information
Practice address
1050 WALL STREET WEST, SUITE 120, LYNDHURST, NJ 07071
(949) 200-6616
(949) 258-5076
Mailing address
23275 S POINT DRIVE SUITE 100, LAGUNA HILLS, CA 92653
(443) 542-9241
(443) 542-9442
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
05/01/2014
Last updated
05/01/2014
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