Individual
DAE WOO LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
984 BERGEN AVE, NORTH BRUNSWICK, NJ 08902
(732) 545-0202
(732) 545-5002
Mailing address
984 BERGEN AVE, NORTH BRUNSWICK, NJ 08902
(732) 545-0202
(732) 545-5002
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
32661
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
242030901
—
NJ
01
—
3100125819
CLIA
—
Enumeration date
11/16/2006
Last updated
06/28/2010
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