Individual
DWIGHT E LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 WILLIAMSON ST, ELIZABETH, NJ 07202-3625
(908) 527-5000
Mailing address
66 W GILBERT ST, 2ND FLOOR, TINTON FALLS, NJ 07701-4947
(732) 212-0051
(732) 212-0052
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA05149200
NJ
207R00000X
Internal Medicine Physician
25MA05149200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2058405
—
NJ
Enumeration date
09/28/2006
Last updated
05/22/2008
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