Provider Demographics
NPI:1659348753
Name:LEE, EDWARD Y (MD, MPH)
Entity Type:Individual
Prefix:
First Name:EDWARD
Middle Name:Y
Last Name:LEE
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Gender:M
Credentials:MD, MPH
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Mailing Address - Street 1:296 COMMONWEALTH AVEUNE
Mailing Address - Street 2:UNIT #3
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-2658
Mailing Address - Country:US
Mailing Address - Phone:617-255-3340
Mailing Address - Fax:617-730-0635
Practice Address - Street 1:300 LONGWOOD AVE
Practice Address - Street 2:CHILDREN'S HOSPITAL BOSTON
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-5724
Practice Address - Country:US
Practice Address - Phone:617-355-3181
Practice Address - Fax:617-730-0635
Is Sole Proprietor?:No
Enumeration Date:2006-03-07
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MA2204642085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology