Provider Demographics
NPI:1831990506
Name:TEE, SYER REE (MB BCH BAO)
Entity type:Individual
Prefix:MS
First Name:SYER REE
Middle Name:
Last Name:TEE
Suffix:
Gender:
Credentials:MB BCH BAO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 LARKFIELD HEATH
Mailing Address - Street 2:CLAY FARM
Mailing Address - City:LEOPARDSTOWN
Mailing Address - State:DUBLIN
Mailing Address - Zip Code:D18 DPA8
Mailing Address - Country:IE
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:55 FRUIT STREET
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114
Practice Address - Country:US
Practice Address - Phone:353-831-3564
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA30177032085B0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging