Organization
AMERICAN MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LEE MD (PRESIDENT)
(201) 880-0700
Entity
Organization
Contact information
Practice address
192 PROSPECT AVE, HACKENSACK, NJ 07601-2204
(201) 880-0700
Mailing address
PO BOX 1715, SOUTH HACKENSACK, NJ 07606-0315
(201) 880-0700
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
25MA06687400
NJ
Other
Enumeration date
05/18/2008
Last updated
06/17/2009
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