Individual
MR. WEILONG LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MMS, CGC, PA-C
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
Mailing address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
—
—
363AM0700X
Medical Physician Assistant
Primary
MA065176CREDENTIAL
PA
Other
Enumeration date
04/27/2018
Last updated
10/25/2023
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