Individual
CHUNG HEE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
786 BROAD ST, NEWARK, NJ 07102-3728
(973) 642-4949
Mailing address
63 VAN HOLTEN RD, BASKING RIDGE, NJ 07920-3438
(908) 350-3234
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OA 05329
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7158106
—
NJ
Enumeration date
03/06/2007
Last updated
07/08/2007
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