Individual provider · Type 1 NPI

Thomas Jae Hoon Lee, MD

Student in an Organized Health Care Education/Training Program · Newark, NJ

NPI number 1104555101 Active

Practice location

185 W S Orange Ave
Newark, NJ 07103

Call (732) 445-4636 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104555101

Thomas Jae Hoon Lee, MD's National Provider Identifier is 1104555101, issued on Jun 7, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Newark, NJ. The record was last updated on Jun 7, 2022.