Lee, Jason B.

Lee, Jason B. is an individual health care provider with primary practice located at 833 Chestnut St Suite 740, Philadelphia PA 19107-4414. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Lee, Jason B. can be contacted via phone (215) 955-6680.

Contact Information

Primary practice address
833 Chestnut St Suite 740 Philadelphia PA 19107-4414
Phone: (215) 955-6680
Fax: (215) 503-2556
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD057036L Pennsylvania
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X MD057036L Pennsylvania
Allopathic & Osteopathic Physicians / Dermatology 207N00000X C1-0009932 Delaware

Profile Details

NPI number 1457372963
LBN Legal business name Lee, Jason B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated May 28th, 2014 - 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 1457372963 NPPES
Pennsylvania MEDICAID 001661200
Pennsylvania MEDICAID 7583001

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