| Serena Q Lee Md Pa | |
|
1222 Us Highway 46 Parsippany NJ 07054-2158 | |
| (973) 335-9210 | |
| (973) 335-9240 |
| Full Name | Serena Q Lee Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1222 Us Highway 46, Parsippany, New Jersey |
| Authorized Official Name and Position | Serena Q. Lee (PRESIDENT) |
| Authorized Official Contact | 9733359210 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serena Q Lee Md Pa 1222 Us Highway 46 Parsippany NJ 07054-2158 Ph: (973) 335-9210 | Serena Q Lee Md Pa 1222 Us Highway 46 Parsippany NJ 07054-2158 Ph: (973) 335-9210 |
| NPI Number | 1457423717 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 10/16/2007 |
| Medicare PECOS PAC ID | 3476555996 |
|---|---|
| Medicare Enrollment ID | O20070212000517 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457423717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MA061583 (New Jersey) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | MA061583 (New Jersey) | Primary |
| Provider Name | Serena Q Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386688083 PECOS PAC ID: 1759325053 Enrollment ID: I20050617000141 |
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