Individual
DR. GRACE S LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
330 CEDAR ST, NEW HAVEN, CT 06510-3218
(203) 737-2036
Mailing address
330 CEDAR ST, NEW HAVEN, CT 06510-3218
(203) 737-2036
(203) 785-2498
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
64999
CT
2086X0206X
Surgical Oncology Physician
64999
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0145974
—
OH
Enumeration date
03/10/2010
Last updated
09/15/2022
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