Peter Hae Suk Lee
Pediatric Emergency Doctor
223 N Van Dien Avenue The Valley Hospital
Ridgewood
, New Jersey 07450
Peter Hae Suk Lee
Pediatric Emergency Doctor
223 N Van Dien Avenue The Valley Hospital
Ridgewood
, New Jersey 07450
(610) 617-6280
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About
Features
Specialties
- Pediatric Emergency Doctor
Languages spoken
- English
Location
First Address
- Peter Hae Suk Lee
- Po Box 1173 Valley Emergency Room Associates Pa
- Ridgewood, NJ
- Zip : 07451
- Fax : (610) 617-6280
- Phone : (800) 777-2455
Second Address
- Peter Hae Suk Lee
- 223 N Van Dien Avenue The Valley Hospital
- Ridgewood, NJ
- Zip : 07450
- Fax : (201) 444-3604
- Phone : (201) 444-2019
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0204X | Pediatric Emergency Doctor | 25MA07465000 | NJ |
National Provider Identifier
| NPI | 1205886611 |
|---|---|
| Provider Name | Peter Hae Suk Lee |
| First Address | Ridgewood, NJ 07451 |
| Second Address | Ridgewood, NJ 07450 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/05/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 8924601 | (05) | NJ |
| G62717 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.