Individual
JUSTIN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(909) 957-8755
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2696
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
1021906
MA
2085R0202X
Diagnostic Radiology Physician
A183032
CA
Other
Enumeration date
04/07/2020
Last updated
06/30/2025
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