Organization
CLOSTER INTERNAL MEDICINE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOO G. LEE MD (MD)
(201) 784-3600
Entity
Organization
Contact information
Practice address
15 VERVALEN ST, CLOSTER, NJ 07624-2635
(201) 784-3600
(201) 784-5677
Mailing address
15 VER VALEN ST STE 2, CLOSTER, NJ 07624-2636
(201) 784-3600
(201) 784-5677
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA07426600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9116508
—
NJ
Enumeration date
03/09/2007
Last updated
04/24/2023
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