Individual
DR. RICHARD JAEBONG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
55 FRUIT ST, YAW 7E, BOSTON, MA 02114-2621
(617) 724-4000
(617) 643-1740
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-4000
(617) 643-1740
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
219872
MA
207RH0003X
Hematology & Oncology Physician
219872
MA
207RX0202X
Medical Oncology Physician
Primary
219872
MA
Other
Enumeration date
10/27/2005
Last updated
05/28/2013
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