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Organization

DR LI'S CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. XIANGYANG LI MD (PRESIDENT)
(508) 458-9060
Entity
Organization

Contact information

Practice address
229 E MAIN ST, SUITE 204, MILFORD, MA 01757-2832
(508) 458-9060
(508) 458-9060
Mailing address
27 EDGEMOOR AVE, WELLESLEY, MA 02482-2210
(508) 458-9060
(508) 458-9060

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
160730
MA
2084P0800X
Psychiatry Physician
Primary
160730
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3205240
MA
Enumeration date
08/30/2011
Last updated
08/30/2011
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