Individual
MATTHEW DANIEL LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 724-9729
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
(650) 906-2666
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
277532
MA
Other
Enumeration date
04/06/2016
Last updated
06/16/2021
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