Individual
DR. ANDREW LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10800 KNIGHTS RD, PHILADELPHIA, PA 19114-4200
(215) 612-5161
Mailing address
10800 KNIGHTS RD, PHILADELPHIA, PA 19114-4200
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MB11121000
NJ
390200000X
Student in an Organized Health Care Education/Training Program
OT017856
PA
Other
Enumeration date
04/28/2017
Last updated
07/28/2021
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