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Individual

DR. DAVID CHARLES LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
520 STOKES ROAD, SUITE A-4, MEDFORD, NJ 08055-2904
(609) 714-7774
(609) 714-7775
Mailing address
520 STOKES ROAD, SUITE A-4, MEDFORD, NJ 08055-2904
(609) 714-7774
(609) 714-7775

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
49817
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
130023199
RAILROAD MEDICARE
NJ
01
2385960
AETNA
NJ
Enumeration date
09/25/2006
Last updated
04/07/2011
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