Individual
DR. AI LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
350 BOULEVARD, PASSAIC, NJ 07055-2840
(973) 470-3598
(973) 470-3548
Mailing address
PO BOX 1258, CLIFTON, NJ 07012-0758
(973) 779-7361
(973) 779-7385
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
NJMA37284
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4957202
—
NJ
Enumeration date
07/04/2006
Last updated
07/08/2007
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