Individual
DR. LE THU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
150 STANIFORD ST, SUITE 614, BOSTON, MA 02114-2511
(617) 723-9883
(617) 723-9852
Mailing address
150 STANIFORD ST, SUITE 614, BOSTON, MA 02114-2511
(617) 723-9883
(617) 723-9852
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
TD05087
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000517085
ANTHEM
OH
05
—
2760221
—
OH
Enumeration date
07/20/2006
Last updated
02/18/2014
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