Individual
STEPHEN YONG TAEK LEE
Active
Individual
STEPHEN YONG TAEK LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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