Individual
ROTHSOVANN YONG-TE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
295 VARNUM AVE, LOWELL, MA 01854-2193
(978) 937-6000
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
246232
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110088230A
—
MA
Enumeration date
06/12/2008
Last updated
03/03/2023
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