Individual
DR. JUSTIN MICHAEL LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
34TH ST & CIVIC CENTER BLVD, SUITE 9329, PHILADELPHIA, PA 19104-4399
(215) 590-6049
(215) 590-1415
Mailing address
34TH ST & CIVIC CENTER BLVD, SUITE 9329, PHILADELPHIA, PA 19104-4399
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
MD433760
PA
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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