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Individual

SHARON MEI MEI LI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1515 BROAD ST STE B120, BLOOMFIELD, NJ 07003-3059
(973) 873-7000
(973) 743-8943
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
25MA07094700
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1099457
GHI PPO
NJ
01
2068142000
AMERIHEALTH ID#
NJ
01
2356164
AETNA HMO#
NJ
01
340019417
RAILROAD MEDICARE ID#
NJ
01
398244
WELLCARE
NJ
01
3S6731
EMPIRE BCBS (CLIFTON)
NJ
01
3S6732
EMPIRE BCBS (WAYNE)
NJ
01
7616106
AETNA PPO#
NJ
01
P2183798
OXFORD ID#
NJ
01
ZD0093
HEALTHNET
NJ
Enumeration date
06/28/2006
Last updated
03/09/2022
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