MEDICARE: DANIEL JAMES 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	2086S0129X	Vascular Surgery Physician	MA68859	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992799977
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL JAMES LEE MD

Provider Business Mailing Address
First Line	:	2 CAPITAL WAY
Second Line	:	SUITE 390
City	:	PENNINGTON
State	:	NJ
Zip	:	08534-2519
Country	:	US
Telephone Number	:	609-818-0040
Fax Number	:	609-818-0049

Provider Business Practice Location Address
First Line	:	2 CAPITAL WAY STE 456
Second Line	:
City	:	PENNINGTON
State	:	NJ
Zip	:	08534-2521
Country	:	US
Telephone Number	:	609-537-7300
Fax Number	:	609-537-7302

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

Provider Enumeration Date	:	09/07/2005
Last Update Date	:	04/30/2021

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