Individual
DR. SEUNG TAE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-5506
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-5509
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
D79526
MD
207RH0003X
Hematology & Oncology Physician
P3190
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
304832401
—
TX
01
—
S053-000
CAREFIRST BC/BS
MD
Enumeration date
02/17/2011
Last updated
09/30/2015
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