Provider Demographics
NPI:1942442884
Name:LEE, KRISTEN K (MD)
Entity Type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:K
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 1:511 COURTYARD DR
Mailing Address - Street 2:BLDG. 500
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-4255
Mailing Address - Country:US
Mailing Address - Phone:908-218-9222
Mailing Address - Fax:
Practice Address - Street 1:511 COURTYARD DR
Practice Address - Street 2:BLDG. 500
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844-4255
Practice Address - Country:US
Practice Address - Phone:908-218-9222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-24
Last Update Date:2015-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09680000207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology