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NPI Code Detail

MEDICARE: DR. CHIA WEN LEE M.D.,

MEDICARE: DR. CHIA WEN LEE M.D.,
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
1207R00000XInternal Medicine Physician244165MA

General Provider Information

NPI Number : 1912210121
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHIA WEN LEE M.D.,
Provider Business Mailing Address
First Line : 885 WASHINGTON ST
Second Line :
City : BOSTON
State : MA
Zip : 02111-1415
Country : US
Telephone Number : 617-482-7555
Fax Number :
Provider Business Practice Location Address
First Line : 885 WASHINGTON ST
Second Line :
City : BOSTON
State : MA
Zip : 02111-1415
Country : US
Telephone Number : 617-482-7555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2010
Last Update Date : 07/16/2010

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