Individual
NELLIE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
190 EUCLID AVE, RIDGEFIELD PARK, NJ 07660-1742
(201) 440-3366
Mailing address
190 EUCLID AVE, RIDGEFIELD PARK, NJ 07660-1742
(201) 440-3366
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA02733100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2998301
—
NJ
Enumeration date
05/21/2007
Last updated
07/08/2007
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