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Individual

GEORGE LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
318 WATERMAN AVE, EAST PROVIDENCE, RI 02914
(401) 438-5950
(401) 435-2561
Mailing address
318 WATERMAN AVE, EAST PROVIDENCE, RI 02914
(401) 438-5950
(401) 435-2561

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
157469
MA
207RN0300X
Nephrology Physician
Primary
9792
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000033673
BOSTON MECIDAL
MA
01
10242
HARVARD PILGRIM
05
110060109A
MA
01
2361
NEIGHBORHOOD
01
3100092
UNITED
01
3726392
AETNA
01
390005807
RAILROAD MEDI
01
402862
BLUECHIP
RI
01
4131470002
CIGNA
05
7006431
RI
01
790769
TUFTS
01
9792
BLUECROSS
RI
01
A28436
MEDI
MA
01
J19110
BLUE CROSS
MA
Enumeration date
12/01/2005
Last updated
10/29/2009
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