Doctor Name: | JOO YOUNG MELISSA LEE |
NPI Number: | 1033166582 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 25MA07595000 |
Business Practice Address: | 37 No Fullerton Avenue Montclair Breast Center Montclair, NJ - 070423426 |
Business Phone Number: | 9735091818 |
Business Fax Number: | 9735090708 |
Mailing Address: | 37 No Fullerton Avenue, Joo Young Melissa Lee Md MONTCLAIR |
State: | NJ |
Postal Code: | 070423426 |
Phone Number: | 9735091818 |
Fax Number: | 9735090708 |
NPI Enumeration Date: | 05/30/2006 |
NPI Last Update Date: | 01/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085U0001X |
License Number: | 25MA07595000 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Ultrasound |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. |