Soo G Lee, MD | |
15 Vervalen St, Closter, NJ 07624-2635 | |
(201) 784-3600 | |
(201) 784-5677 |
Full Name | Soo G Lee |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 26 Years |
Location | 15 Vervalen St, Closter, New Jersey |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679508048 | NPI | - | NPPES |
9116508 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 25MA07426600 (New Jersey) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Englewood Hospital And Medical Center | Englewood, NJ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medical Associates Of Englewood Pc | 1355512252 | 519 |
Entity Name | Excelcare Medical Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992736300 PECOS PAC ID: 4284647868 Enrollment ID: O20060727000044 |
Entity Name | Medical Associates Of Englewood Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952681918 PECOS PAC ID: 1355512252 Enrollment ID: O20110927000020 |
Mailing Address | Practice Location Address |
---|---|
Soo G Lee, MD 645 Westwood Ave Fl 2, Rivervale, NJ 07675-6238 Ph: (201) 358-6774 | Soo G Lee, MD 15 Vervalen St, Closter, NJ 07624-2635 Ph: (201) 784-3600 |
Dr. Charles L Sprung, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 12 N Star Rd, Closter, NJ 07624 Phone: 201-768-8816 | |
Dr. Zahid A Farooki, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Ruckman Rd, Closter, NJ 07624 Phone: 201-385-6161 Fax: 201-385-1671 |