Provider Demographics
NPI:1720078694
Name:LEE, BAI HOON (MD)
Entity Type:Individual
Prefix:
First Name:BAI
Middle Name:HOON
Last Name:LEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4 WINDSOR RD
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:MA
Mailing Address - Zip Code:02030-2361
Mailing Address - Country:US
Mailing Address - Phone:781-278-6279
Mailing Address - Fax:781-551-0619
Practice Address - Street 1:800 WASHINGTON ST
Practice Address - Street 2:PATHOLOGY DEPT
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-3487
Practice Address - Country:US
Practice Address - Phone:781-769-4000
Practice Address - Fax:781-551-0619
Is Sole Proprietor?:No
Enumeration Date:2005-10-24
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA34035207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA034035OtherTUFTS
MA6179487Medicaid
MAC18096OtherBCBS
MA34988OtherHPHC
MA34988OtherHPHC
MA6179487Medicaid