Individual
DR. JONATHAN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
196 W SPROUL RD, HEALTHPLEX SUITE 205, SPRINGFIELD, PA 19064
(610) 604-0888
(610) 604-0880
Mailing address
196 W SPROUL RD, HEALTHPLEX SUITE 205, SPRINGFIELD, PA 19064
(610) 604-0888
(610) 604-0880
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD-425937
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012580630001
—
PA
Enumeration date
07/27/2006
Last updated
07/08/2007
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