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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1568486975 | NPPES |
Connecticut | Other | 50GREENEOCT01 | ANTHEM |
Connecticut | Other | P1126523 | ANTHEM |
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