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Individual

MRS. EUNSOL CHO LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
7 BROAD AVE STE 203, PALISADES PARK, NJ 07650-1886
(201) 941-2486
Mailing address
7 BROAD AVE STE 203, PALISADES PARK, NJ 07650-1886
(201) 941-2486

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ01136200
NJ
363LG0600X
Gerontology Nurse Practitioner
26NJ01136200
NJ

Other

Enumeration date
05/19/2021
Last updated
05/28/2021
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