Individual
DR. AMY LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT ST, WARREN 219, BOSTON, MA 02114-2621
(617) 726-2967
Mailing address
55 FRUIT ST, WARREN 219, BOSTON, MA 02114-2621
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
241817
MA
207ZP0101X
Anatomic Pathology Physician
A98133
CA
Other
Enumeration date
10/02/2007
Last updated
04/05/2012
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