Organization
LEE AESTHETIC CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY LEE MD (MEMBER)
(732) 896-0566
Entity
Organization
Contact information
Practice address
58 MOUNT BETHEL RD, SUITE 302, WARREN, NJ 07059-2654
(908) 738-1160
(908) 738-1170
Mailing address
58 MOUNT BETHEL RD, SUITE 302, WARREN, NJ 07059-2654
(908) 738-1160
(908) 738-1170
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA09441300
NJ
Other
Enumeration date
01/26/2015
Last updated
01/28/2016
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