Dr Richard Lee, DC | |
204 Tom Hunter Rd, Fort Lee, NJ 07024-5302 | |
(201) 220-2245 | |
Not Available |
Full Name | Dr Richard Lee |
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Gender | Male |
Speciality | Chiropractor |
Location | 204 Tom Hunter Rd, Fort Lee, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467114041 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 38MC00777700 (New Jersey) | Primary |
Provider Name | Sport Rehab Chiro Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1982366571 PECOS PAC ID: 8426441031 Enrollment ID: O20220203000374 |
Mailing Address | Practice Location Address |
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Dr Richard Lee, DC 204 Tom Hunter Rd, Fort Lee, NJ 07024-5302 Ph: (201) 220-2245 | Dr Richard Lee, DC 204 Tom Hunter Rd, Fort Lee, NJ 07024-5302 Ph: (201) 220-2245 |
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