Individual
MRS. JUNG A LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
116-130 BROADWAY, PASSAIC, NJ 07055
(973) 779-2865
Mailing address
116-130 BROADWAY, PASSAIC, NJ 07055
(973) 779-2865
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02556400
NJ
Other
Enumeration date
08/05/2010
Last updated
08/05/2010
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