Individual
JESSICA J LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
CHILDREN'S HOSPITAL, 300 LONGWOOD AVE - HUNNEWELL GROUND, BOSTON, MA 02115
(617) 355-6058
Mailing address
195 BINNEY ST, APT. 4303, CAMBRIDGE, MA 02142-1044
(617) 355-6058
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
230652
MA
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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