Individual
JONATHAN LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
520 SAYBROOK RD STE 100B, MIDDLETOWN, CT 06457-4700
(860) 358-2270
(860) 347-6774
Mailing address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 358-6000
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
78863
CT
Other
Enumeration date
03/14/2019
Last updated
07/29/2024
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