Individual
DR. JOHN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3400 SPRUCE ST, 5 RAVDIN, PHILADELPHIA, PA 19104-4206
(215) 662-2138
Mailing address
3400 SPRUCE ST, 5 RAVDIN, PHILADELPHIA, PA 19104-4206
(215) 662-2138
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD433095
PA
Other
Enumeration date
09/15/2008
Last updated
09/15/2008
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