Individual
TERESA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
333 COTTMAN AVE, PHILADELPHIA, PA 19111-2434
(215) 707-4000
(215) 707-5066
Mailing address
3500 N BROAD ST, PHILADELPHIA, PA 19140-4106
(215) 707-2433
(215) 707-3677
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD462292
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1032579780005
—
PA
Enumeration date
04/17/2014
Last updated
05/04/2022
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