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Individual

DR. LI TSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
70 HASTINGS ST, WELLESLEY, MA 02481-5439
(781) 772-8100
(781) 772-8101
Mailing address
70 HASTINGS ST, WELLESLEY, MA 02481-5439
(781) 772-8100
(781) 772-8101

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
75440
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3091058
MA
01
727225
TUFTS HEALTH PLAN
MA
01
J12245
BCBS MA
MA
Enumeration date
11/02/2005
Last updated
05/16/2024
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