Individual
KEUN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
29 FOXWOOD SQ S, OLD TAPPAN, NJ 07675-7358
(201) 956-0651
Mailing address
29 FOXWOOD SQ S, OLD TAPPAN, NJ 07675-7358
(201) 956-0651
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
308187
NY
Other
Enumeration date
04/19/2018
Last updated
01/10/2021
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