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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083787295 NPPES
New Jersey MEDICAID 242030901
New Jersey Other 3100125819

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