Individual
MARK TSU CHONG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
282 WASHINGTON ST, SUITE 1H, DEPARTMENT OF ORTHOPAEDICS, HARTFORD, CT 06106-3322
(860) 545-8643
(860) 545-9095
Mailing address
282 WASHINGTON ST, SUITE 1H, DEPARTMENT OF ORTHOPAEDICS, HARTFORD, CT 06106-3322
(860) 545-8643
(860) 545-9095
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
046855
CT
207XP3100X
Pediatric Orthopaedic Surgery Physician
046855
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050447454
CORPORATE FEDERAL ID #
—
Enumeration date
05/16/2006
Last updated
04/13/2022
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