Edward Thang Le, PA Valid NPI
Individual provider · Physician Assistant · Brockton, MA
- NPI
- 1871254243
- Type
- Individual (Type 1)
- Primary specialty
- Physician Assistant
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363A00000X
- License number
- PA8532 (MA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2022-01-06
- Last updated
- 2022-04-28
Practice location
680 Centre St
Brockton, MA 02302-3308
(508) 941-7000