| Organization Name: | SUNG WON LEE MD PC |
| NPI Number: | 1144501362 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUNGWON LEE (PRESIDENT) |
| Mailing Address: | 101 Broad Ave Palisades Park |
| State: | NJ US |
| Postal Code: | 076501438 |
| Phone Number: | 2019412486 |
| Fax Number: | 2019411577 |
| NPI Enumeration Date: | 09/01/2011 |
| NPI Last Update Date: | 10/24/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RA0401X |
| License Number: | 25MA08015300 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Addiction Medicine |
| Taxonomy Definition: | An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |