Individual
MS. ATHENA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
136 MOUNTAINVIEW BLVD, BASKING RIDGE, NJ 07920-3444
(908) 542-3500
Mailing address
24 HAMILTON RD, BASKING RIDGE, NJ 07920-3724
(908) 326-6573
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00130700
NJ
363AS0400X
Surgical Physician Assistant
004951-1
NY
Other
Enumeration date
06/18/2007
Last updated
04/26/2024
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