Individual
THOMAS JAMES LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(203) 384-3566
Mailing address
2154 OLD TOWN RD, TRUMBULL, CT 06611-4775
(917) 576-0075
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
74914
CT
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
A161616
CA
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
MD476594
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/12/2016
Last updated
08/04/2023
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