Jason Li, D.O.

NPI #1982088852 in Pawtucket, Rhode Island

Provider Information

NPI Number: 1982088852
Entity Type: Individual
Name: Jason Li, D.O.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Jul 10, 2015
Last Updated: Jul 10, 2015

Practice Location

Address: 111 BREWSTER ST
Address 2: FCC-C
City: Pawtucket
State: Rhode Island
ZIP Code: 02860-4474
Phone: (401) 729-2769

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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