Individual
AMANDA MELANIE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2100 DORCHESTER AVE, BOSTON, MA 02124-5615
(617) 506-2726
Mailing address
2100 DORCHESTER AVE, DORCHESTER, MA 02124-5615
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
293503
MA
390200000X
Student in an Organized Health Care Education/Training Program
RTL23-0221
NC
Other
Enumeration date
03/29/2022
Last updated
05/10/2023
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