Individual
EUGENE JEONG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 NORMAL AVE, MONTCLAIR, NJ 07043-1624
(201) 316-7736
Mailing address
400 FAIRVIEW AVE APT 4C, FORT LEE, NJ 07024-3876
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NJ
Other
Enumeration date
12/17/2025
Last updated
12/17/2025
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