MEDICARE: DANIEL 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
1	2085R0202X	Diagnostic Radiology Physician	25MA10247700	NJ

General Provider Information

NPI Number	:	1740675024
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL LEE MD

Provider Business Mailing Address
First Line	:	619 ALEXANDER RD STE 203
Second Line	:
City	:	PRINCETON
State	:	NJ
Zip	:	08540-6017
Country	:	US
Telephone Number	:	732-821-5563
Fax Number	:	732-821-3250

Provider Business Practice Location Address
First Line	:	419 N HARRISON ST
Second Line	:
City	:	PRINCETON
State	:	NJ
Zip	:	08540-3521
Country	:	US
Telephone Number	:	732-821-5563
Fax Number	:	732-821-3250

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2015
Last Update Date	:	02/02/2026

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