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NPI Code Detail

MEDICARE: BAI HOON LEE MD

MEDICARE: BAI HOON LEE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician34035MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1034035OTHERMATUFTS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3C18096OTHERMABCBS
434988OTHERMAHPHC

General Provider Information

NPI Number : 1720078694
Entity Type Code : Individual
Provider Name (Legal Business Name) : BAI HOON LEE MD
Provider Business Mailing Address
First Line : 4 WINDSOR RD
Second Line :
City : DOVER
State : MA
Zip : 02030-2361
Country : US
Telephone Number : 781-278-6279
Fax Number : 781-551-0619
Provider Business Practice Location Address
First Line : 800 WASHINGTON ST
Second Line : PATHOLOGY DEPT
City : NORWOOD
State : MA
Zip : 02062-3487
Country : US
Telephone Number : 781-769-4000
Fax Number : 781-551-0619
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2005
Last Update Date : 01/31/2013

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