Organization
CHONG W. LEE, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHONG W LEE M.D. (PRESIDENT)
(703) 379-1616
Entity
Organization
Contact information
Practice address
4901 SEMINARY ROAD, #110, ALEXANDRIA, VA 22311
(703) 379-1616
Mailing address
4901 SEMINARY ROAD, #110, ALEXANDRIA, VA 22311
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007451750
—
VA
Enumeration date
11/29/2007
Last updated
12/10/2007
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