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Organization

LIN LI, M.D., P.A.

Active
Other names
Family Allergy and Asthma Care
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LIN LI M.D (PRESIDENT)
(585) 315-2433
Entity
Organization

Contact information

Practice address
1303 STATE ROUTE 27, SUITE 5, SOMERSET, NJ 08873-3456
(732) 246-1932
(732) 246-1936
Mailing address
15 DOLORES DR, EDISON, NJ 08817-2328
(732) 246-1932
(732) 246-1936

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
25MA08998100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0280453
NJ
01
1104100049
TRICARE
01
1659085869
AMERIHEALTH
NJ
01
7193009
CIGNA
NJ
01
9540774
AETNA
NJ
Enumeration date
04/13/2017
Last updated
09/26/2017
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