Individual
DR. SAM LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
601 ROUTE 206 UNIT 36, HILLSBOROUGH, NJ 08844-1522
(908) 359-7200
Mailing address
601 ROUTE 206 UNIT 36, HILLSBOROUGH, NJ 08844-1522
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00663500
NJ
152W00000X
Optometrist
56 008337
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27OA00663500
STATE LICENSE
NJ
Enumeration date
09/21/2015
Last updated
02/05/2023
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