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General NPI Number Information
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NPI Number | 1982692471
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Entity Type | Individual
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Provider Name | BENJAMIN LEE MD
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Gender | Male
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Dates
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Enumeration Date | 10/10/2005
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Last Update Date | 02/23/2016
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Provider Practice Location Address
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Address Line | 2012 S. TOLLGATE RD SUITE 102
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City | BEL AIR
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State | MD
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Zip | 21015-5901
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Country | US
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Telephone | 443-490-4000
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Fax | 443-484-2831
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Provider Business Mailing Address
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Address Line | PO BOX 997
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City | BEL AIR
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State | MD
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Zip | 21014-0997
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Country | US
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Telephone | 443-490-4000
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Fax | 443-484-2831
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | D0057974
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License Number State | MD
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