Lee, Stephen Yong Taek

Lee, Stephen Yong Taek is an individual health care provider with primary practice located at 220 Lake Dr E Ste 105 , Cherry Hill NJ 08002-1165. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Lee, Stephen Yong Taek can be contacted via phone (856) 809-4200.

Contact Information

Primary practice address
220 Lake Dr E Ste 105 Cherry Hill NJ 08002-1165
Phone: (856) 809-4200
Fax: (856) 306-5231
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD052294L Pennsylvania
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MA06655300 New Jersey

Profile Details

NPI number 1346213907
LBN Legal business name Lee, Stephen Yong Taek
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Oct 11th, 2020 - about 4 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 1346213907 NPPES
Pennsylvania MEDICAID 001518615-0001
Pennsylvania MEDICAID 6510906
Pennsylvania MEDICAID 001518615-0002

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