Provider Demographics
NPI:1841443470
Name:LEE, RONALD TAE (MD)
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:TAE
Last Name:LEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:100 RANDALL RD UNIT 1046
Mailing Address - Street 2:
Mailing Address - City:WRENTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02093-7052
Mailing Address - Country:US
Mailing Address - Phone:617-841-3620
Mailing Address - Fax:617-334-5505
Practice Address - Street 1:ONE BOSTON PLACE
Practice Address - Street 2:201 WASHINGTON STREET, STE 2679
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02108
Practice Address - Country:US
Practice Address - Phone:617-841-3620
Practice Address - Fax:617-334-5505
Is Sole Proprietor?:No
Enumeration Date:2008-10-28
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT390200000X
MA2459842084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program