Individual
JASON LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3626 US HIGHWAY 1, PRINCETON, NJ 08540-5922
(609) 945-3611
Mailing address
16 RUSSELL CT, MATAWAN, NJ 07747-7101
(917) 843-0287
(732) 328-2787
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB09945500
NJ
Other
Enumeration date
03/31/2014
Last updated
05/16/2021
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