Lee, Gerald

Lee, Gerald is an individual health care provider with primary practice located at 24 Elm St , Harrington Park NJ 07640-1902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Lee, Gerald can be contacted via phone (201) 784-0123.

Contact Information

Primary practice address
24 Elm St Harrington Park NJ 07640-1902
Phone: (201) 784-0123
Fax: (201) 784-0065
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA06619700 New Jersey

Profile Details

NPI number 1982692745
LBN Legal business name Lee, Gerald
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Jan 11th, 2018 - about 8 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 1982692745 NPPES
New Jersey Other 5251548 AETNA PPO #
New Jersey Other 110238811 AETNA PPO #
New Jersey Other 3458089 AETNA PPO #
New Jersey Other 056AO2 AETNA PPO #
New Jersey Other 056AO3 AETNA PPO #
New Jersey Other 056AO1 AETNA PPO #
New Jersey Other 2K2175 AETNA PPO #
New Jersey Other 0011445000 AETNA PPO #
New Jersey Other P815754 AETNA PPO #

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