Individual
ANNA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
34TH & CIVIC CENTER BLVD, PHILADELPHIA, PA 19104
(215) 590-1728
Mailing address
34TH & CIVIC CENTER BLVD, PHILADELPHIA, PA 19104
(215) 590-1728
Taxonomy
Speciality
Code
Description
License number
State
207ZP0213X
Pediatric Pathology Physician
Primary
MT196332
PA
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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