Individual
ERICA LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
833 CHESTNUT ST, SUITE 301, PHILADELPHIA, PA 19107-4414
(215) 955-7190
Mailing address
833 CHESTNUT ST, STE 301, PHILADELPHIA, PA 19107-4405
(215) 955-7190
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD466115
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2016
Last updated
06/25/2019
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