Provider Demographics
NPI:1427047828
Name:LE, TRANG P (MD)
Entity type:Individual
Prefix:DR
First Name:TRANG
Middle Name:P
Last Name:LE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:700 CONGRESS STREET
Mailing Address - Street 2:SUITE 103
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169
Mailing Address - Country:US
Mailing Address - Phone:617-472-3400
Mailing Address - Fax:617-472-3411
Practice Address - Street 1:700 CONGRESS STREET
Practice Address - Street 2:SUITE 301
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169
Practice Address - Country:US
Practice Address - Phone:617-786-1460
Practice Address - Fax:617-786-1463
Is Sole Proprietor?:No
Enumeration Date:2005-10-18
Last Update Date:2012-11-28
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Provider Licenses
StateLicense IDTaxonomies
MA205413207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
110221050OtherRAILROAD MEDICARE
1524519008OtherCIGNA HEALTHCARE
MA0122980Medicaid
205413OtherTUFTS ASSOCIATED HEALTH P
691052OtherHARVARD PILGRIM HEALTHCAR
J22774OtherBLUE CROSS/BLUE SHIELD
0403281OtherUNITED HEALTH OF NE
2553627OtherAETNA/US HEALTHCARE
MA000000020207OtherBOSTON HEALTH NET
MA0023726OtherNEIGHBORHOOD HEALTH PLAN
J22774OtherBLUE CROSS/BLUE SHIELD
110221050OtherRAILROAD MEDICARE
MAH20821Medicare UPIN