Individual
SONG EUN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1200 E RIDGEWOOD AVE, STE #207, RIDGEWOOD, NJ 07450-3952
(201) 612-9600
(201) 612-0428
Mailing address
1200 E RIDGEWOOD AVE, STE #207, RIDGEWOOD, NJ 07450-3952
(201) 612-9600
(201) 612-0428
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA09694900
NJ
Other
Enumeration date
04/23/2009
Last updated
09/10/2015
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