Individual
JOHN J LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2050 W CHESTER PIKE, SUITE 100, HAVERTOWN, PA 19083-2742
(610) 789-6701
(610) 789-6704
Mailing address
2050 W CHESTER PIKE, SUITE 100, HAVERTOWN, PA 19083-2742
(610) 789-6701
(610) 789-6704
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD071940L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
053512T23
RAILROAD MEDICARE
PA
Enumeration date
12/15/2005
Last updated
03/13/2008
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