Individual
JENNIFER CHEN LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-8707
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-8707
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
1014624
MA
207R00000X
Internal Medicine Physician
287198
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/17/2015
Last updated
04/18/2023
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