Organization
TERRANCE LEE MD PC
Active
Organization
TERRANCE LEE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRANCE LEE MD (OWNER)
(908) 315-5602
Entity
Organization
Contact information
Practice address
443 NORTHFIELD AVE STE 301, WEST ORANGE, NJ 07052-3022
(908) 315-5602
Mailing address
443 NORTHFIELD AVE STE 301, WEST ORANGE, NJ 07052-3022
(908) 315-5602
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Enumeration date
10/03/2017
Last updated
10/12/2017
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