Organization
NORTH JERSEY ANESTHESIA ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUNG DU LEE MD (PRESIDENT)
(973) 427-9065
Entity
Organization
Contact information
Practice address
220 HAMBURG TPKE STE 4, WAYNE, NJ 07470-2132
(973) 942-0400
(973) 942-0452
Mailing address
262 LINCOLN AVE, HAWTHORNE, NJ 07506-1201
(973) 427-9065
(973) 427-4995
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA028375
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1K9165
HEALTHNET
NJ
01
—
A510336
OXFORD
NJ
Enumeration date
07/16/2006
Last updated
08/22/2020
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