Provider Demographics
NPI:1740284702
Name:LEE, PO-SHUN (MD)
Entity type:Individual
Prefix:DR
First Name:PO-SHUN
Middle Name:
Last Name:LEE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1 BLACKFAN CIRCLE,
Mailing Address - Street 2:KARP 6 BRIGHAM & WOMEN'S HOSPITAL
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-6110
Mailing Address - Country:US
Mailing Address - Phone:617-355-9034
Mailing Address - Fax:617-355-9016
Practice Address - Street 1:75 FRANCIS ST
Practice Address - Street 2:BRIGHAM & WOMEN'S HOSPITAL, PULMONARY & CRITICAL CARE
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-6110
Practice Address - Country:US
Practice Address - Phone:617-355-9012
Practice Address - Fax:617-355-9016
Is Sole Proprietor?:No
Enumeration Date:2005-06-08
Last Update Date:2011-04-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA217759207R00000X, 207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2099683Medicaid
MA2099683Medicaid