Jonathan Li, MD | |
19 Bramble Bush Dr, Falmouth, MA 02540-2325 | |
(508) 540-7555 | |
Not Available |
Full Name | Jonathan Li |
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Gender | Male |
Speciality | Urology |
Location | 19 Bramble Bush Dr, Falmouth, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659878577 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 1015932 (Massachusetts) | Primary |
Entity Name | Greater Boston Urology Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003120411 PECOS PAC ID: 1153516513 Enrollment ID: O20101110001263 |
Entity Name | Greater Boston Urology Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003120411 PECOS PAC ID: 1153516513 Enrollment ID: O20101111000020 |
Mailing Address | Practice Location Address |
---|---|
Jonathan Li, MD 32 James St, Lexington, MA 02420-1130 Ph: (781) 698-7415 | Jonathan Li, MD 19 Bramble Bush Dr, Falmouth, MA 02540-2325 Ph: (508) 540-7555 |
Paul Bouche, MD Urology Medicare: Medicare Enrolled Practice Location: 19 Bramble Bush Dr, Falmouth, MA 02540 Phone: 508-540-7555 | |
James Bleiler, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 19 Bramble Bush Dr, Falmouth, MA 02540 Phone: 508-540-7555 Fax: 508-540-3008 | |
Dr. Dean Edward Leocadio, M.D., M.A. Urology Medicare: Medicare Enrolled Practice Location: 19 Bramble Bush Dr, Falmouth, MA 02540 Phone: 508-540-7555 Fax: 508-540-3008 |