Provider Demographics
NPI:1053477182
Name:STEINGISSER, LEE JAY (MD)
Entity Type:Individual
Prefix:DR
First Name:LEE
Middle Name:JAY
Last Name:STEINGISSER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 MARSHALL TER
Mailing Address - Street 2:
Mailing Address - City:WAYLAND
Mailing Address - State:MA
Mailing Address - Zip Code:01778-1103
Mailing Address - Country:US
Mailing Address - Phone:508-358-5115
Mailing Address - Fax:
Practice Address - Street 1:1 ENTERPRISE DR
Practice Address - Street 2:
Practice Address - City:NORTH QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02171-2125
Practice Address - Country:US
Practice Address - Phone:617-246-4464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA46271207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine