Active NPIIndividual providerSole proprietor

Susan A Adeife Lee, MD

Pediatrics in Bristol, Connecticut

NPI Number1528120094
Practice location
1301 Farmington Ave, Bristol, CT 06010-4776
Fax
—
Last updated
October 8, 2020

Susan Adeola Adeife Lee is a Pediatrics based in Bristol, CT. Susan Adeola Adeife Lee practices in Bristol, CT and has the professional credentials of MD. The NPI Number for Susan Adeola Adeife Lee is 1528120094 and holds a License No. 038949 (CT). The current practice location address for Susan Adeola Adeife Lee is 1301 Farmington Ave, Bristol, CT 06010-4776 and can be reached out via phone at 860-589-4501.

Provider Profile Details

NPI Number
1528120094
Provider Name
Susan Adeola Adeife Lee
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1301 Farmington Ave, Bristol, CT 06010-4776
Phone Number
860-589-4501
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
Yes
Provider Enumeration Date
December 14, 2006
Last Update Date
October 8, 2020
Certification Date
October 8, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1301 Farmington Ave
Bristol, CT 06010-4776
Zip
06010-4776
Phone Number
860-589-4501
Bristol, CT 06010Get directions →

Provider Business Mailing Address Details

Address
1301 Farmington Ave
Bristol, CT 06010-4776
City
Bristol
State
CT
Zip
06010-4776
Phone Number
860-589-4501

License Information

License Number
038949
License State
CT
Taxonomy
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Pediatrics providers near Bristol, CT

View all Pediatrics providers in Bristol →

Frequently Asked Questions

What is the NPI number of Susan A Adeife Lee, MD?

The NPI number of Susan A Adeife Lee, MD is 1528120094. It was assigned on December 14, 2006 and is currently active in the NPPES registry.

What is the specialty of Susan A Adeife Lee, MD?

Susan A Adeife Lee, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in CT under license number 038949.

Where does Susan A Adeife Lee, MD practice?

The practice location is 1301 Farmington Ave, Bristol, CT 06010-4776. The office can be reached at 860-589-4501 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1528120094 directly on the NPPES registry website.

Browse related providers