Organization
JONATHAN M LEE LLC
Active
Organization
JONATHAN M LEE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN MARK LEE M.D. (INTERNIST)
(781) 326-1464
Entity
Organization
Contact information
Practice address
200 PROVIDENCE HWY, SUITE 202-203, DEDHAM, MA 02026-1881
(781) 326-1464
(781) 326-9075
Mailing address
200 PROVIDENCE HWY, SUITE 202-203, DEDHAM, MA 02026-1881
(781) 326-1464
(781) 326-9075
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
72678
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3062601
—
MA
Enumeration date
12/27/2010
Last updated
04/08/2011
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