Individual
DEREK LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-5030
(215) 707-3494
Mailing address
1500 LANSDOWNE AVE, DARBY, PA 19023-1200
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD464917
PA
Other
Enumeration date
05/31/2016
Last updated
06/02/2022
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