Individual
DR. JESSICA M LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
85 SEYMOUR ST, SUITE 415, HARTFORD, CT 06106
(860) 246-2071
(860) 524-2650
Mailing address
85 SEYMOUR ST, SUITE 415, HARTFORD, CT 06106
(860) 246-2071
(860) 524-2650
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
052108
CT
2086S0102X
Surgical Critical Care Physician
052108
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16011719-1A
UCONN ID
CT
Enumeration date
07/25/2007
Last updated
07/15/2013
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