Organization
NELLIE LEE M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NELLIE LEE M.D. (PRESIDENT)
(201) 440-3366
Entity
Organization
Contact information
Practice address
190 EUCLID AVE, RIDGEFIELD PARK, NJ 07660-1742
(201) 440-3366
(201) 807-0705
Mailing address
190 EUCLID AVE, RIDGEFIELD PARK, NJ 07660-1742
(201) 440-3366
(201) 807-0705
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA02733100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2998301
—
NJ
Enumeration date
01/05/2007
Last updated
08/22/2020
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