Provider Demographics
NPI:1225465545
Name:MUNIZ-LEE, ADA (MS)
Entity Type:Individual
Prefix:
First Name:ADA
Middle Name:
Last Name:MUNIZ-LEE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:ADA
Other - Middle Name:
Other - Last Name:MUNIZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:1 FOLKSTONE CT
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-4298
Mailing Address - Country:US
Mailing Address - Phone:732-422-9680
Mailing Address - Fax:
Practice Address - Street 1:1 FOLKSTONE CT
Practice Address - Street 2:
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-4298
Practice Address - Country:US
Practice Address - Phone:732-422-9680
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-01
Last Update Date:2013-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist