Healthcare Provider Details

I. General information

NPI: 1699942037
Provider Name (Legal Business Name): ANTHONY CARL LEE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2008
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BROOKLINE PL STE 105
BROOKLINE MA
02445-7294
US

IV. Provider business mailing address

1 BROOKLINE AVE STE 105
BOSTON MA
02215-3421
US

V. Phone/Fax

Practice location:
  • Phone: 617-278-8000
  • Fax:
Mailing address:
  • Phone: 617-278-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number246341
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: