Individual provider · Type 1 NPI

Garland Lee, PA

Medical Physician Assistant · West Orange, NJ

NPI number 1124456561 Active

Practice location

347 Mount Pleasant Ave, Suite 205
West Orange, NJ 07052-2744

Fax (973) 498-0512

Mailing address

2506 Mountain Ave
Scotch Plains, NJ 07076-1502

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X25MP003200900 (NJ)
Medical Physician Assistant 363AM0700X016774-1 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1124456561

Garland Lee, PA's National Provider Identifier is 1124456561, issued on Oct 22, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in West Orange, NJ. The record was last updated on Oct 22, 2013.