Individual
ETHAN LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1015 WALNUT ST STE 115, PHILADELPHIA, PA 19107-5005
(215) 503-8734
Mailing address
100 E LANCASTER AVE, WYNNEWOOD, PA 19096-3450
(610) 645-6555
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/07/2025
Last updated
04/08/2026
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