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Individual

DR. PRESCOTT P LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 BROOKSBY VILLAGE DR, PEABODY, MA 01960-1438
(978) 536-7850
(978) 536-7051
Mailing address
701 MAIDEN CHOICE LN, BALTIMORE, MD 21228-5968
(410) 402-2257
(410) 402-2264

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
231263
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0430282
EVERCARE
01
1083615462
BCBS
05
110084444A
MA
01
522239464
TRICARE
Enumeration date
08/09/2005
Last updated
02/19/2010
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