Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 25MA06938100 | NJ |
N | 208600000X | Surgeon | 25MA06938100 | NJ |
N | 208200000X | Surgeon | MAO69381 | NJ |
N | 208600000X | Surgeon | MAO69381 | NJ |
Y | 2086X0206X | Surgical Oncologist | 25MA06938100 | NJ |
NPI | 1336191808 |
---|---|
Provider Name | Dr. Cynthia Lee |
First Address | Somerville, NJ 08876-2548 |
Second Address | Somerville, NJ 08876-2500 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2006 |
Last Update Date | 28/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7979509 | (05) | NJ |