Individual
SHIPEN LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50 MEMORIAL DR, LEOMINSTER, MA 01453-2238
(978) 466-4535
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
60111
MA
207RN0300X
Nephrology Physician
Primary
60111
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110048887A
—
MA
Enumeration date
05/11/2006
Last updated
11/18/2020
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