| David W. Lee Md Pa | |
|
1625 Anderson Ave 204 Fort Lee NJ 07024-2748 | |
| (201) 224-0011 | |
| (201) 224-8920 |
| Full Name | David W. Lee Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1625 Anderson Ave, Fort Lee, New Jersey |
| Authorized Official Name and Position | David W. Lee (PRESIDENT) |
| Authorized Official Contact | 2012240011 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David W. Lee Md Pa 1625 Anderson Ave 204 Fort Lee NJ 07024-2748 Ph: (201) 224-0011 | David W. Lee Md Pa 1625 Anderson Ave 204 Fort Lee NJ 07024-2748 Ph: (201) 224-0011 |
| NPI Number | 1932394079 |
|---|---|
| Provider Enumeration Date | 09/12/2007 |
| Last Update Date | 09/12/2007 |
| Medicare PECOS PAC ID | 9335229343 |
|---|---|
| Medicare Enrollment ID | O20080103000400 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932394079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| Provider Name | David W Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922144401 PECOS PAC ID: 5698855690 Enrollment ID: I20080103000315 |
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