Individual
HUNG MANH LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
450 BROOK ST, PROVIDENCE, RI 02906-2231
(401) 863-7893
Mailing address
450 BROOK ST, BOX 1928, PROVIDENCE, RI 02906-2231
(401) 863-7893
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
273080
MA
207RS0010X
Sports Medicine (Internal Medicine) Physician
273080
MA
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
MD17977
RI
Other
Enumeration date
06/11/2015
Last updated
08/31/2021
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