Individual
XIAOLI MA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
121 N 9TH ST, PHILADELPHIA, PA 19107-2410
(215) 629-8866
(215) 629-8867
Mailing address
405 DARTMOUTH ROAD, BRYN MAWR, PA 19010-0123
(215) 629-8866
(215) 629-8867
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD065188L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018971410005
—
PA
Enumeration date
06/06/2006
Last updated
08/11/2011
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