Individual
DR. SOO J. RHEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
525 E 68TH ST FL 7, BOX 197, NEW YORK, NY 10065-4870
(212) 746-5964
Mailing address
525 E 68TH ST FL 7, BOX 197, NEW YORK, NY 10065-4870
(212) 746-5964
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
223869
NY
208600000X
Surgery Physician
238238
MA
2086S0129X
Vascular Surgery Physician
Primary
223869
NY
2086S0129X
Vascular Surgery Physician
238238
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2166861
—
MA
01
—
498712
TUFTS
MA
01
—
J44476
BLUE CROSS BLUE SHIELD
MA
Enumeration date
10/24/2008
Last updated
10/04/2021
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