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NPI Code Detail

MEDICARE: DR. DAVID WON LEE M.D.

MEDICARE:  DR. DAVID WON 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
1174400000XSpecialistMA44977NJ
2207Q00000XFamily Medicine Physician25MA04497700NJ

General Provider Information

NPI Number : 1922144401
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID WON LEE M.D.
Provider Business Mailing Address
First Line : 1625 ANDERSON AVE
Second Line : SUITE 204
City : FORT LEE
State : NJ
Zip : 07024-2748
Country : US
Telephone Number : 201-224-0011
Fax Number : 201-224-8920
Provider Business Practice Location Address
First Line : 1625 ANDERSON AVE
Second Line : SUITE 204
City : FORT LEE
State : NJ
Zip : 07024-2748
Country : US
Telephone Number : 201-224-0011
Fax Number : 201-224-8920
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2007
Last Update Date : 02/19/2020

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Directions to “ DR. DAVID WON LEE M.D.” Practice Location

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