Individual
DR. JASON B. LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
833 CHESTNUT ST, SUITE 740, PHILADELPHIA, PA 19107-4414
(215) 955-6680
(215) 503-2556
Mailing address
833 CHESTNUT ST, SUITE 740, PHILADELPHIA, PA 19107-4414
(215) 955-6680
(215) 503-2556
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
C1-0009932
DE
207N00000X
Dermatology Physician
Primary
MD057036L
PA
207ND0900X
Dermatopathology Physician
MD057036L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001661200
—
PA
05
—
7583001
—
NJ
Enumeration date
07/21/2006
Last updated
05/28/2014
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