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Contact Information

INKU K LEE, MD
55 MERIDEN AVE STE 3G
SOUTHINGTON, CT06489-3237
 Phone: 860-276-5107
 Fax: 860-276-5173
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for INKU K LEE · (Male)

NPI Number 1548242225
Status Active
Credentials MD
Entity Individual
Enumeration date 11/17/2005
Last updated 04/16/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 022527
  • CT Medicaid 001225275
Hospital affiliation(s)
  • HOSPITAL OF CENTRAL CONNECTICUT THE - (Acute Care)
    100 GRAND STREET
    NEW BRITAIN, CT 06050
  • MIDSTATE MEDICAL CENTER - (Acute Care)
    435 LEWIS AVE
    MERIDEN, CT 06450
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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