Provider Demographics
NPI:1972565851
Name:LEE, DONNA J (MD)
Entity type:Individual
Prefix:DR
First Name:DONNA
Middle Name:J
Last Name:LEE
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Gender:F
Credentials:MD
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Mailing Address - Street 1:30 PROSPECT AVE
Mailing Address - Street 2:WFAN 3RD FLR
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-1914
Mailing Address - Country:US
Mailing Address - Phone:551-996-5207
Mailing Address - Fax:551-996-4969
Practice Address - Street 1:30 PROSPECT AVE
Practice Address - Street 2:WFAN 3RD FLR
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-1914
Practice Address - Country:US
Practice Address - Phone:551-996-5207
Practice Address - Fax:551-996-4969
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2017-05-04
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Provider Licenses
StateLicense IDTaxonomies
NJMA 637412080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJH03341Medicare UPIN