Lee, Gary Stewart

Lee, Gary Stewart is an individual health care provider with primary practice located at 42808 Christy St Ste 216 , Fremont CA 94538-3119. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Lee, Gary Stewart can be contacted via phone (408) 900-8838.

Contact Information

Primary practice address
42808 Christy St Ste 216 Fremont CA 94538-3119
Phone: (408) 900-8838
Fax: (408) 962-0235
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G61379 California
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X G61379 California

Profile Details

NPI number 1710943113
LBN Legal business name Lee, Gary Stewart
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Oct 17th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710943113 NPPES
California MEDICAID 00G613790

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