Provider Demographics
NPI:1598926636
Name:LEE, AARON SOLOMON (MD)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:SOLOMON
Last Name:LEE
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 1:4055 RIDGE AVE
Mailing Address - Street 2:APT 5508
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19129-1576
Mailing Address - Country:US
Mailing Address - Phone:909-213-6999
Mailing Address - Fax:
Practice Address - Street 1:4055 RIDGE AVE
Practice Address - Street 2:APT 5508
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19129-1576
Practice Address - Country:US
Practice Address - Phone:909-213-6999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-20
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT193763207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine