Individual
CHARLENE C LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
851 MARSHALL PHELPS ROAD, WINDSOR FAMILY MEDICINE, WINDSOR, CT 06095
(860) 683-0756
(860) 683-1555
Mailing address
851 MARSHALL PHELPS ROAD, HEALTH ONE PHYSICIAN ASSOCIATES PC WINDSOR FAMILY MEDIC, WINDSOR, CT 06095
(860) 683-0756
(860) 683-1555
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
021556
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001215565
—
CT
01
—
080166654
RAILROAD MEDICARE
CT
Enumeration date
07/12/2006
Last updated
04/18/2012
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