Lee, Modestus

Lee, Modestus is an individual health care provider with primary practice located at 5 Perryridge Road Greenwich Hospital Nicu, Greenwich CT 06830-4697. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Lee, Modestus can be contacted via phone (203) 863-3542.

Contact Information

Primary practice address
5 Perryridge Road Greenwich Hospital Nicu Greenwich CT 06830-4697
Phone: (203) 863-3542
Fax: (203) 863-3816
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 038874 Connecticut
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 038874 Connecticut

Profile Details

NPI number 1568486975
LBN Legal business name Lee, Modestus
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Jul 8th, 2007 - about 17 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 1568486975 NPPES
Connecticut Other 50GREENEOCT01 ANTHEM
Connecticut Other P1126523 ANTHEM

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