Most Relevant Information
Provider Data
| NPI Number: | 1003325697 |
| Provider Name: | TRUNG M LE |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 40QA016824000 |
Most Important Dates
| Enumeration Date: | 09/26/2017 |
| Last Updated: | 09/26/2017 |
Provider Practice Location
165 FAIRFIELD AVE
WEST CALDWELL
NJ
070066414
Practice Location Phone/Fax
| Phone: | 9732261100 |
| Fax: |
Provider Mailing Location
3379 ROUTE 46 APT 10D
PARSIPPANY
NJ
070541259
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |