Individual
DR. JOHN P LEE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
223 N VAN DIEN AVE, RIDGEWOOD, NJ 07450-2726
(201) 447-8000
Mailing address
PO BOX 630, FRANKLIN LAKES, NJ 07417-0630
(201) 847-9403
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA07400100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8895503
—
NJ
Enumeration date
06/02/2006
Last updated
07/08/2007
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