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Individual

S HOWARD LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
201 UNION AVE, BLDG 2, BRIDGEWATER, NJ 08807-3002
(908) 725-1291
(908) 725-8335
Mailing address
239 ROUTE 22 EAST, SUITE 302, GREEN BROOK, NJ 08812-3002
(732) 968-4899
(732) 968-8096

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA03350300
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
300009501
RAILROAD MEDICARE - EDISON
NJ
01
300025885
RAILROAD MEDICARE - BRIDGEWATER
NJ
01
300102252
RAILROAD MEDICARE - SMC
NJ
05
5135508
NJ
Enumeration date
06/24/2005
Last updated
05/27/2008
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