Individual
DR. JONATHAN XIMING LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 667-7000
Mailing address
230 BABCOCK ST APT 4H, BROOKLINE, MA 02446-6787
(630) 234-0376
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
274265
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110153804A
—
MA
Enumeration date
06/06/2015
Last updated
08/19/2019
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