# CHANG H LEE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Palisade Pain Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942488572
- **Authorized official:** DR. CHANG HO LEE M.D. (PROPRIETOR)
- **Authorized official phone:** (201) 568-0118

## Contact information

- **Practice address:** 120 CHARLOTTE PLACE, MIDDLE LEVEL, ENGLEWOOD CLIFFS, NJ 07632
- **Practice address phone:** (201) 568-0118
- **Practice address fax:** (201) 568-7118
- **Mailing address:** 120 CHARLOTTE PLACE, MIDDLE LEVEL, ENGLEWOOD CLIFFS, NJ 07632
- **Mailing address phone:** (201) 568-0118
- **Mailing address fax:** (201) 568-7118

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | 25MA05757200 | NJ | Yes |

## Other

- **Enumeration date:** 02/06/2008
- **Last updated:** 06/18/2008