Individual
JEHYUK LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2601 HOLME AVE, PHILADELPHIA, PA 19152-2007
(215) 335-6627
Mailing address
364 RIVERWAY, APT 1, BOSTON, MA 02115-6419
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MD427014
PA
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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