Provider Demographics
NPI:1720109689
Name:LEE, ARTHUR J (DO)
Entity type:Individual
Prefix:
First Name:ARTHUR
Middle Name:J
Last Name:LEE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:378 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:WELLESLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02481-6207
Mailing Address - Country:US
Mailing Address - Phone:781-489-5541
Mailing Address - Fax:781-489-5340
Practice Address - Street 1:378 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02481-6207
Practice Address - Country:US
Practice Address - Phone:781-489-5541
Practice Address - Fax:781-489-5340
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2210372081P2900X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110077301AMedicaid
MA001221201Medicare PIN