Keun Lee, MD in Old Tappan, NJ - General Practice

Keun Lee, MD is a General Practice physician based in Old Tappan, New Jersey. Keun Lee is licensed to practice in New York (license number 308187) and his current practice location is 29 Foxwood Sq S, Old Tappan, New Jersey. He can be reached at his office (for appointments etc.) via phone at (201) 956-0651.

NPI number for Keun Lee is 1871080317 and his current mailing address is 29 Foxwood Sq S, Old Tappan, New Jersey. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1871080317.

Contact Information

	Keun Lee, MD
	29 Foxwood Sq S, Old Tappan, NJ 07675-7358
	(201) 956-0651
	Not Available

Physician's Profile

Full Name	Keun Lee
Gender	Male
Speciality	General Practice
Location	29 Foxwood Sq S, Old Tappan, New Jersey
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1871080317
Provider Enumeration Date: 04/19/2018
Last Update Date: 01/10/2021

Medical Identifiers

Medical identifiers for Keun Lee such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871080317	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	308187 (New York)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keun Lee is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Keun Lee, MD 29 Foxwood Sq S, Old Tappan, NJ 07675-7358 Ph: (201) 956-0651	Keun Lee, MD 29 Foxwood Sq S, Old Tappan, NJ 07675-7358 Ph: (201) 956-0651

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Keun Lee, MD - General Practice in Old Tappan, NJ