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Contact Information

JASON O LEE, MD
836 FARMINGTON AVENUE
SUITE 207
WEST HARTFORD, CT06119
 Phone: 860-232-9911
 Fax: 860-233-5996
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Allergy & Immunology

207K00000X 03 Physician/Allergy/ Immunology
 

Clinical & Laboratory Immunology

207KI0005X 03 Physician/Allergy/ Immunology
Indicates primary specialty

NPI Profile & details for JASON O LEE · (Male)

NPI # 1760463400
Status Active
Credentials MD
Entity Individual
Enumeration date 11/09/2005
Last updated 04/14/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 038654
  • CT Medicaid 001386540
  • CT Medicaid 00138654000
  • CT Medicaid OV7942
  • Other 043518 AETNA
  • Other 010038654CT01 BLUE CROSS
  • Other 1179424002 CIGNA
  • Other 038654 CONNECTICARE
  • Other 004394508 MEDICAID GROUP CAAC
  • Other P2666151 OXFORD
  • Other 224829 PREFERRED ONE
Hospital affiliation(s)
  • MIDDLESEX HOSPITAL - (Acute Care)
    28 CRESCENT ST
    MIDDLETOWN, CT 06457
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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