Lee, Peter Hae Suk

Lee, Peter Hae Suk is an individual health care provider with primary practice located at 223 N Van Dien Avenue The Valley Hospital, Ridgewood NJ 07450. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as his primary health care specialty. Lee, Peter Hae Suk can be contacted via phone (201) 444-2019.

Contact Information

Primary practice address
223 N Van Dien Avenue The Valley Hospital Ridgewood NJ 07450
Phone: (201) 444-2019
Fax: (201) 444-3604
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 25MA07465000 New Jersey

Profile Details

NPI number 1205886611
LBN Legal business name Lee, Peter Hae Suk
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 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 1205886611 NPPES
New Jersey MEDICAID 8924601

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