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Shane Lee, MD
Vascular & Interventional Radiology Physician in Philadelphia, Pennsylvania
NPI 1104067651

Shane Lee is a Vascular & Interventional Radiology Physician based in Philadelphia, PA and is specialized in Vascular & Interventional Radiology. Shane Lee practices in Philadelphia, PA and has the professional credentials of MD. The NPI Number for Shane Lee is 1104067651 and holds a License No. 203BR0202X (Pennsylvania).

The current practice location address for Shane Lee is 3401 N Broad St, Philadelphia, PA and can be reached out via phone at 215-707-7237 and via fax at 215-707-9389.

Location: 3401 N Broad St, Philadelphia, PA, 19129-1302
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104067651
Provider Name
Shane Lee
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3401 N Broad St, Philadelphia, PA, 19129-1302
Phone Number
215-707-7237
Fax Number
215-707-9389
Provider Enumeration Date
03/12/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0383686 05 NJ
102844548 05 PA
institution
Provider Business Practice Location Address Details
Address
3401 N Broad St
City
Philadelphia
State
Pennsylvania
Zip
19140
Phone Number
215-707-7237
Fax Number
215-707-9389
person
Provider Business Mailing Address Details
Address
3401 N Broad St
City
Philadelphia
State
Pennsylvania
Zip
19140
Phone Number
215-707-7237
Fax Number
215-707-9389
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
MD449493 (Pennsylvania)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
203BR0202X (Pennsylvania)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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