Provider Demographics
NPI:1922080878
Name:LEE, CHING-HSIEN JESSICA (MD, PHD)
Entity Type:Individual
Prefix:
First Name:CHING-HSIEN
Middle Name:JESSICA
Last Name:LEE
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10026 OLD OCEAN CITY BLVD
Mailing Address - Street 2:BUILDING ONE
Mailing Address - City:BERLIN
Mailing Address - State:MD
Mailing Address - Zip Code:21811-1288
Mailing Address - Country:US
Mailing Address - Phone:410-629-6888
Mailing Address - Fax:410-629-6874
Practice Address - Street 1:10231 OLD OCEAN CITY BLVD
Practice Address - Street 2:SUITE 210
Practice Address - City:BERLIN
Practice Address - State:MD
Practice Address - Zip Code:21811-1288
Practice Address - Country:US
Practice Address - Phone:410-629-6888
Practice Address - Fax:410-629-6874
Is Sole Proprietor?:No
Enumeration Date:2005-11-16
Last Update Date:2010-08-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA223849207RH0003X
MDD0070513207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2105004Medicaid
MAI06938Medicare UPIN
MA2105004Medicaid
I06938Medicare UPIN