Individual
DEREK S LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 S LIVINGSTON AVE, SUITE 2G, LIVINGSTON, NJ 07039-4043
(973) 716-9716
Mailing address
201 S LIVINGSTON AVE, SUITE 2G, LIVINGSTON, NJ 07039-4043
(973) 716-9716
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
25MA06012300
NJ
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
25MA06012300
NJ
Other
Enumeration date
09/17/2006
Last updated
04/08/2011
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