Provider Demographics
NPI:1467616029
Name:LI, CHIANG J (MD)
Entity Type:Individual
Prefix:
First Name:CHIANG
Middle Name:J
Last Name:LI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:333 PROVIDENCE HWY
Mailing Address - Street 2:BOSTON BIOMEDICAL, INC.
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-3927
Mailing Address - Country:US
Mailing Address - Phone:781-278-0846
Mailing Address - Fax:781-762-9863
Practice Address - Street 1:333 PROVIDENCE HWY
Practice Address - Street 2:BOSTON BIOMEDICAL, INC.
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-3927
Practice Address - Country:US
Practice Address - Phone:781-278-0846
Practice Address - Fax:781-762-9863
Is Sole Proprietor?:No
Enumeration Date:2008-07-14
Last Update Date:2008-07-14
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Provider Licenses
StateLicense IDTaxonomies
MA98-7304-01207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology