Individual
DR. RONGSHAN LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 KESTREL DR, COLLEGEVILLE, PA 19426-2060
(610) 831-5354
(610) 831-5358
Mailing address
535 E CRESCENT AVE, RAMSEY, NJ 07446-2922
(201) 661-7280
(201) 661-7297
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25MA08650800
NJ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
47440
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000030377S
HUMANA
—
05
—
34584000
—
WI
Enumeration date
05/22/2006
Last updated
09/22/2014
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