Individual
YE LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5 NEPONSET ST, WORCESTER, MA 01606-2714
(508) 425-5566
(508) 365-6590
Mailing address
5 NEPONSET ST, WORCESTER, MA 01606-2714
(508) 425-5566
(508) 365-6590
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
278497
MA
207Q00000X
Family Medicine Physician
LP03785
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110153442A
—
MA
Enumeration date
12/06/2011
Last updated
07/31/2020
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