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NPI Code Detail

MEDICARE: JOSEPH LEE

MEDICARE: JOSEPH LEE
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
1101YM0800XMental Health Counselor37AC00429800NJ

General Provider Information

NPI Number : 1770060709
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH LEE
Provider Business Mailing Address
First Line : 42 CHEROKEE TRL
Second Line :
City : OAKLAND
State : NJ
Zip : 07436-3012
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 545 ISLAND RD STE 2B
Second Line :
City : RAMSEY
State : NJ
Zip : 07446-2822
Country : US
Telephone Number : 201-995-1004
Fax Number : 201-345-7121
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2018
Last Update Date : 07/23/2018

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Directions to “ JOSEPH LEE ” Practice Location

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