Doctor Name: | MISS FAWCETT SIEW SUIT LEE |
NPI Number: | 1083045488 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN |
License Number: | 26NJ00479600 |
Business Practice Address: | 9 Dutchtown Harlingen Rd Belle Mead, NJ - 085025115 |
Business Phone Number: | 9088748883 |
Business Fax Number: | 9088743595 |
Mailing Address: | 32 Bush Pkwy, EAST BRUNSWICK |
State: | NJ |
Postal Code: | 088162207 |
Phone Number: | 8483911811 |
Fax Number: | |
NPI Enumeration Date: | 12/10/2013 |
NPI Last Update Date: | 12/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 26NJ00479600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |