Individual
GERALD LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
24 ELM ST, HARRINGTON PARK, NJ 07640-1902
(201) 784-0123
(201) 784-0065
Mailing address
24 ELM ST, HARRINGTON PARK, NJ 07640-1902
(201) 784-0123
(201) 784-0065
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA06619700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0011445000
AMERIHEALTH #
NJ
01
—
056AO1
EMPIRE HC (HP) #
NJ
01
—
056AO2
EMPIRE HC (TE) #
NJ
01
—
056AO3
EMPIRE HC (HP) #
NJ
01
—
110238811
RAILROAD MDCR #
NJ
01
—
2K2175
HEALTHNET #
NJ
01
—
3458089
AETNA HMO #
NJ
01
—
5251548
AETNA PPO #
NJ
01
—
P815754
OXFORD #
NJ
Enumeration date
10/06/2005
Last updated
01/11/2018
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