Healthcare Provider Details

I. General information

NPI: 1851239511
Provider Name (Legal Business Name): VANNY LE CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57 ROLLING HILL DR
CHATHAM NJ
07928-1610
US

IV. Provider business mailing address

57 ROLLING HILL DR
CHATHAM NJ
07928-1610
US

V. Phone/Fax

Practice location:
  • Phone: 732-873-6868
  • Fax: 516-517-9515
Mailing address:
  • Phone:
  • Fax: 516-517-9515

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: VANNY LE
Title or Position: MD
Credential:
Phone: 732-873-6868