Individual
DR. EDWARD SANG KEUN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
140 BERGEN ST STE E1620, NEWARK, NJ 07103-2425
(973) 972-5377
(973) 972-8268
Mailing address
140 BERGEN ST STE E1620, NEWARK, NJ 07103-2425
(973) 972-5377
(973) 972-8268
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
249420-1
NY
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
25MA08409800
NJ
Other
Enumeration date
10/03/2007
Last updated
10/13/2022
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