Individual
GI-SOO LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 LONGWOOD AVE FL 3, BOSTON, MA 02115-5711
(617) 355-6417
(617) 730-0611
Mailing address
333 LONGWOOD AVE FL 3, BOSTON, MA 02115-5711
(617) 355-4533
(617) 730-0611
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
237587
MA
207YP0228X
Pediatric Otolaryngology Physician
Primary
237587
MA
Other
Enumeration date
08/12/2006
Last updated
11/01/2022
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