Individual
JACK LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11 FRIENDS LN STE 115, NEWTOWN, PA 18940-1885
(609) 799-1600
(267) 358-5166
Mailing address
11 FRIENDS LN STE 115, NEWTOWN, PA 18940-1885
(609) 799-1600
(267) 358-5166
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
25MA11878200
NJ
207N00000X
Dermatology Physician
MD482446
PA
207ND0101X
MOHS-Micrographic Surgery Physician
25MA11878200
NJ
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
MD482446
PA
Other
Enumeration date
06/18/2018
Last updated
02/10/2024
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