Individual
DR. SIMON LI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA10844000
NJ
208000000X
Pediatrics Physician
046079
CT
208000000X
Pediatrics Physician
25MA10844000
NJ
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
25MA10844000
NJ
208D00000X
General Practice Physician
223798
MA
282NC2000X
Children's Hospital
257559-1
NY
Other
Enumeration date
03/02/2006
Last updated
05/02/2024
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