Individual
BRENT LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2000 WASHINGTON ST STE 341, NEWTON, MA 02462-1625
(617) 964-0024
(617) 964-6374
Mailing address
2000 WASHINGTON ST STE 341, NEWTON, MA 02462-1625
(617) 964-0024
(617) 964-6374
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/22/2022
Last updated
07/08/2022
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