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General NPI Number Information
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NPI Number | 1194784868
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Entity Type | Individual
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Provider Name | PETER Y. LEE MD
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Gender | Male
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Dates
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Enumeration Date | 03/21/2006
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Last Update Date | 05/13/2008
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Provider Practice Location Address
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Address Line | 557 CRANBURY RD SUITE 7
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-5419
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Country | US
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Telephone | 732-613-0500
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Fax | 732-613-0345
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Provider Business Mailing Address
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Address Line | 557 CRANBURY RD SUITE 7
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-5419
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Country | US
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Telephone | 732-613-0500
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Fax | 732-613-0345
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA03594000
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 25MA03594000
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License Number State | NJ
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