Provider Demographics
NPI:1669484432
Name:LEE, WENDY CATHERINE (MD)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:CATHERINE
Last Name:LEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91 S JEFFERSON RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WHIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07981-1037
Mailing Address - Country:US
Mailing Address - Phone:973-538-6116
Mailing Address - Fax:973-538-3712
Practice Address - Street 1:91 S JEFFERSON RD
Practice Address - Street 2:SUITE 200
Practice Address - City:WHIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07981-1037
Practice Address - Country:US
Practice Address - Phone:973-538-6116
Practice Address - Fax:973-538-3712
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07233000208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics