Organization
JOHN J W LEE MD PC
Active
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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