Individual
MRS. GARLAND LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
347 MOUNT PLEASANT AVE, SUITE 205, WEST ORANGE, NJ 07052-2744
(973) 571-2121
(973) 498-0512
Mailing address
2506 MOUNTAIN AVE, SCOTCH PLAINS, NJ 07076-1502
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
016774-1
NY
363AM0700X
Medical Physician Assistant
Primary
25MP003200900
NJ
Other
Enumeration date
10/22/2013
Last updated
10/22/2013
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