Individual
DR. KIWON LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
99 BEAUVOIR AVE, SUMMIT, NJ 07901-3533
(908) 522-2829
(908) 522-6417
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(713) 704-6731
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
P2717
TX
2084N0400X
Neurology Physician
P2717
TX
2084V0102X
Vascular Neurology Physician
Primary
25MA09016800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
302502501
—
TX
01
—
8DJ101
BCBSTX PROV REC #
TX
Enumeration date
07/21/2006
Last updated
06/12/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us