Individual
DR. MAXIMILIAN H LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
85 SEYMOUR ST, SUITE 719, HARTFORD, CT 06106-5501
(860) 522-0604
(860) 247-0422
Mailing address
85 SEYMOUR ST, SUITE 719, HARTFORD, CT 06106-5501
(860) 522-0604
(860) 247-0422
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
CT50907
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050907
CTCARE
—
01
—
9044942
AETNA
CT
Enumeration date
03/29/2007
Last updated
10/17/2012
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