Individual
JEONG M LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
850 HARRISON AVE, ACC-3, BOSTON, MA 02118-4072
(617) 414-5951
Mailing address
850 HARRISON AVE, ACC-5, BOSTON, MA 02118-4072
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
151942
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3198120
—
MA
Enumeration date
12/22/2005
Last updated
07/08/2007
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