Lee, Dae Woo
Lee, Dae Woo is an individual health care provider with primary practice located at 984 Bergen Ave , North Brunswick NJ 08902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Lee, Dae Woo can be contacted via phone (732) 545-0202.Contact Information
Primary practice address
984 Bergen Ave
North Brunswick NJ 08902
Phone: (732) 545-0202
Fax: (732) 545-5002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 32661 | New Jersey |
Profile Details
| NPI number | 1083787295 |
|---|---|
| LBN Legal business name | Lee, Dae Woo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2006 |
| Last updated | Jun 28th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083787295 | NPPES |
| New Jersey | MEDICAID | 242030901 | |
| New Jersey | Other | 3100125819 |
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