Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0117X | Orthopaedic Spine Surgeon | 036130533 | IL |
Y | 207XS0117X | Orthopaedic Spine Surgeon | 25MA09349800 | NJ |
NPI | 1124289780 |
---|---|
Provider Name | Dr. Joseph Kim Lee |
First Address | Marlton, NJ 08053-3195 |
Second Address | Tarrytown, NY 10591-5104 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2008 |
Last Update Date | 02/04/2019 |