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Individual

UHUN RO LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
45 PEARL ST, BROCKTON, MA 02301-2858
(508) 580-0044
(508) 587-0350
Mailing address
45 PEARL ST, BROCKTON, MA 02301-2858
(508) 580-0044
(508) 587-0350

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
40044
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000007252
BOSTON HEALTH NET PLAN
MA
01
0004321
NEIGHBORHOOD HEALTH
MA
01
040044
TUFTS HEALTH PLAN
MA
01
0701045
UNITED HEALTHCARE
MA
01
13020
HARVARD PILGRIM
MA
05
2047063
MA
01
92910
AETNA
MA
01
J03194
BLUE SHIELD
MA
Enumeration date
04/08/2006
Last updated
07/08/2007
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