Provider Demographics
NPI:1235265919
Name:LEE, EUDOCIA QUANT (MD)
Entity Type:Individual
Prefix:
First Name:EUDOCIA
Middle Name:QUANT
Last Name:LEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:EUDOCIA
Other - Middle Name:CARMEN
Other - Last Name:QUANT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:450 BROOKLINE AVENUE, SW 460C
Mailing Address - Street 2:DANA FARBER CANCER INSTITUTE
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-5418
Mailing Address - Country:US
Mailing Address - Phone:617-632-2166
Mailing Address - Fax:617-632-4773
Practice Address - Street 1:450 BROOKLINE AVENUE
Practice Address - Street 2:DANA FARBER CANCER INSITUTE
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-5418
Practice Address - Country:US
Practice Address - Phone:617-632-2166
Practice Address - Fax:617-632-4773
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2313192084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology