Lee, Mary Min-Chin

Lee, Mary Min-Chin is an individual health care provider with primary practice located at 55 Lake Ave N Department Of Pediatric Endocrinology, Worcester MA 01655. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Endocrinology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Lee, Mary Min-Chin can be contacted via phone (508) 856-4280.

Contact Information

Primary practice address
55 Lake Ave N Department Of Pediatric Endocrinology Worcester MA 01655
Phone: (508) 856-4280
Fax: (508) 856-4287
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 70464 Massachusetts
Allopathic & Osteopathic Physicians / Pediatrics 208000000X C1-0012649 Delaware

Profile Details

NPI number 1225011349
LBN Legal business name Lee, Mary Min-Chin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated May 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225011349 NPPES
Massachusetts MEDICAID 110049041A

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