Individual
DR. VINCENT LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
483 CRANBURY ROAD, UNIVERSITY RADIOLOGY GROUP, PC, EAST BRUNSWICK, NJ 08816
(732) 390-0030
(732) 390-1856
Mailing address
579A CRANBURY ROAD, UNIVERSITY RADIOLOGY GROUP, PC, EAST BRUNSWICK, NJ 08816
(732) 390-0040
(732) 390-1856
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
25MA09640600
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
25MA09640600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0462438
—
NJ
Enumeration date
04/08/2014
Last updated
09/11/2015
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