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Individual
JUSTIN LI
Active
Individual
JUSTIN LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD16703
RI
390200000X
Student in an Organized Health Care Education/Training Program
259877
MA
Other
Enumeration date
06/20/2014
Last updated
05/16/2019
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