Individual
DR. BRIAN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(302) 381-6801
Mailing address
300 ALEXANDER CT APT 2107, PHILADELPHIA, PA 19103-1176
(302) 381-6801
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LP02546
RI
207R00000X
Internal Medicine Physician
MD15352
RI
208000000X
Pediatrics Physician
270311
MA
208000000X
Pediatrics Physician
MD15352
RI
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
MD477773
PA
Other
Enumeration date
05/24/2012
Last updated
11/20/2022
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