Individual
DR. CHANG J LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 BOULEVARD, PASSAIC, NJ 07055-2840
(973) 779-7361
(973) 779-7385
Mailing address
PO BOX 1258, CLIFTON, NJ 07012-0758
(973) 779-7361
(973) 779-7385
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MA031813
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0769703
—
NJ
Enumeration date
07/05/2006
Last updated
07/08/2007
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