Individual
JEFFREY R LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
28-04 BROADWAY, FAIR LAWN, NJ 07410-3913
(201) 791-4434
(201) 475-8740
Mailing address
28-04 BROADWAY, FAIR LAWN, NJ 07410-3913
(201) 791-4434
(201) 475-8740
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
006996-1
NY
363AS0400X
Surgical Physician Assistant
Primary
25MP00045000
NJ
Other
Enumeration date
09/20/2006
Last updated
09/16/2013
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