Ly, Thuytien Thi

Ly, Thuytien Thi is an sole proprietor health care provider with primary practice located at 55 Fruit St Yaw 4 Vincent Ob Gyn Service, Boston MA 02114. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Ly, Thuytien Thi can be contacted via phone (617) 724-2229.

Contact Information

Primary practice address
55 Fruit St Yaw 4 Vincent Ob Gyn Service Boston MA 02114
Phone: (617) 724-2229
Fax: (617) 724-3498
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 155792 Massachusetts

Profile Details

NPI number 1467442764
LBN Legal business name Ly, Thuytien Thi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2005
Last updated Jul 18th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467442764 NPPES
Massachusetts MEDICAID 3177611
Massachusetts Other J18745
Massachusetts Other 155792

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