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Individual

KEHUA LI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
570 EGG HARBOR RD, SUITE C-1, SEWELL, NJ 08080-2359
(856) 256-8899
(856) 256-8868
Mailing address
570 EGG HARBOR RD, SUITE C-1, SEWELL, NJ 08080-2359
(856) 256-8899
(856) 256-8868

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
25MA07893300
NJ
207N00000X
Dermatology Physician
MD417022
PA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
25MA07893300
NJ
207ND0101X
MOHS-Micrographic Surgery Physician
MD417022
PA
207ND0900X
Dermatopathology Physician
25MA07893300
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1164488417
NPI
01
25MA07893300
STATE LICENSE
NJ
Enumeration date
04/25/2006
Last updated
12/27/2019
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