Individual
STEPHEN YONG TAEK LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
220 LAKE DR E STE 105, CHERRY HILL, NJ 08002-1165
(856) 809-4200
(856) 306-5231
Mailing address
220 LAKE DR E STE 105, CHERRY HILL, NJ 08002-1165
(856) 809-4200
(856) 306-5231
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MA06655300
NJ
207W00000X
Ophthalmology Physician
MD052294L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001518615-0001
—
PA
05
—
001518615-0002
—
PA
05
—
6510906
—
NJ
Enumeration date
02/13/2006
Last updated
10/11/2020
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