Lee, Nellie

Lee, Nellie is an individual health care provider with primary practice located at 190 Euclid Ave , Ridgefield Park NJ 07660-1742. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Lee, Nellie can be contacted via phone (201) 440-3366.

Contact Information

Primary practice address
190 Euclid Ave Ridgefield Park NJ 07660-1742
Phone: (201) 440-3366
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 25MA02733100 New Jersey

Profile Details

NPI number 1104034107
LBN Legal business name Lee, Nellie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2007
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 1104034107 NPPES
New Jersey MEDICAID 2998301

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