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:
Health care specialties
Specialty | Code | License # | 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 6 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 | 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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