Individual
JANE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-3000
(215) 662-7011
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-3000
(215) 662-7011
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25MA11111200
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
MD471034
PA
Other
Enumeration date
03/31/2014
Last updated
05/27/2021
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