Individual
MELODY LI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
126 PARK AVE, BRIDGEPORT, CT 06604-7620
(800) 392-3582
Mailing address
126 PARK AVE, BRIDGEPORT, CT 06604-7620
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/06/2026
Last updated
07/06/2026
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