Lee, Sung-Won

Lee, Sung-Won is an individual health care provider with primary practice located at 7 Broad Ave Suite 203, Palisades Park NJ 07650-1886. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Lee, Sung-Won can be contacted via phone (201) 941-2486.

Contact Information

Primary practice address
7 Broad Ave Suite 203 Palisades Park NJ 07650-1886
Phone: (201) 941-2486
Fax: (201) 941-1577
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MA08015300 New Jersey

Profile Details

NPI number 1144296492
LBN Legal business name Lee, Sung-Won
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Jul 12th, 2015 - about 11 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 1144296492 NPPES
New Jersey MEDICAID 0093572

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