Duc Ly
Individual provider Active NPI Homemaker · Quincy, MA
NPI 1043783863 · NPPES record last updated Jan 3, 2019
Key facts
- NPI
- 1043783863
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- License
- S87187214 (MA)
- Practice address
- 1439 Furnace Brook Pkwy
Quincy, MA 02169-6111 - Phone
- (857) 251-1325
- NPI assigned
- Jan 3, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S87187214 | MA | MD | Homemaker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | S87187214 | MA | Yes |
Addresses
Primary practice location
1439 Furnace Brook Pkwy
Quincy, MA 02169-6111
Mailing address
1439 Furnace Brook Pkwy
Quincy, MA 02169-6111
Phone (857) 251-1325
Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.