Individual
ROBERT LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5800 RIDGE AVE, PHILADELPHIA, PA 19128-1737
(215) 483-9900
Mailing address
4111 MAIN ST, APT B, PHILADELPHIA, PA 19127-2102
(571) 332-3049
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC006754
PA
Other
Enumeration date
08/06/2016
Last updated
08/06/2016
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