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Individual

MICHAEL A LEE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
325 RIVER RIDEGE DRIVE, NORWOOD, MA 02062
(781) 329-1400
(781) 278-5667
Mailing address
PO BOX 9120, DEDHAM, MA 02027-9120
(781) 329-1400
(781) 278-5667

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
71648
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0016062
NEIGHBORHOOD HEALTH PLAN
01
01-04903
UNITED HEALTHCARE(PPO)
01
0448593
HEALTHSOURCE MASS
01
27592
CHILDREN'S MEDICAL
01
3076555
MASS HEALTH(DIV OF MED)
01
61231
HARVARD/PILGRIM
01
753034
TUFTS BENEFIT ADMIN
01
E80158
FIRST SENIORITY
01
J10918
BLUE SHIELD-INDEMITY
Enumeration date
09/21/2005
Last updated
07/08/2007
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