Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 244716 | MA |
Y | 207VG0400X | Gynecologist | 244716 | MA |
NPI | 1003882564 |
---|---|
Provider Name | Dr. Janet Li |
First Address | Quincy, MA 02169-4339 |
Second Address | Quincy, MA 02169-4339 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/02/2006 |
Last Update Date | 08/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010114292 | (05) | VA |
010114331 | (05) | VA |
010122333 | (05) | VA |
H82491 | (02) | VA |