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Organization

SUNG WON LEE MD PC

Active
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Organization

SUNG WON LEE MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SUNGWON LEE M.D. (PRESIDENT)
(201) 941-2486
Entity
Organization

Contact information

Practice address
101 BROAD AVE, PALISADES PARK, NJ 07650-1438
(201) 941-2486
(201) 941-1577
Mailing address
101 BROAD AVE, PALISADES PARK, NJ 07650-1438
(201) 941-2486
(201) 941-1577

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA08015300
NJ
207RA0401X
Addiction Medicine (Internal Medicine) Physician
25MA08015300
NJ
207RB0002X
Obesity Medicine (Internal Medicine) Physician
25MA08015300
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0093572
NJ
Enumeration date
09/01/2011
Last updated
10/24/2011
About Stedi
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