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Organization

JOHN J W LEE MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN J W LEE MD (PRESIDENT)
(610) 789-6701
Entity
Organization

Contact information

Practice address
1360 WYOMING AVE, SCRANTON, PA 18509
(570) 504-5888
(610) 566-6107
Mailing address
2050 WEST CHESTER PIKE, SUITE 100, HAVERTOWN, PA 19083
(610) 789-6701
(610) 789-6704

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD071940L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DD3906
RAILROAD MEDICARE
PA
Enumeration date
09/16/2006
Last updated
03/13/2008
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