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Organization
WALTER J LEE MD PC
Active
Organization
WALTER J LEE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER J LEE MD (OWNER)
(617) 254-7473
Entity
Organization
Contact information
Practice address
280 WASHINGTON ST, SUITE 201, BRIGHTON, MA 02135-3511
(617) 254-7473
(617) 254-3141
Mailing address
280 WASHINGTON ST, SUITE 201, BRIGHTON, MA 02135-3511
(617) 254-7473
(617) 254-3141
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
50245
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
604026
TUFT GROUP
MA
05
—
9775994
—
MA
01
—
M16298
BLUE CROSS GROUP
MA
01
—
M20016
MEDICARE GROUP
MA
Enumeration date
10/18/2007
Last updated
11/16/2007
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