Provider Demographics
NPI:1184600017
Name:LI, HONGMEI (MD,PHD)
Entity type:Individual
Prefix:DR
First Name:HONGMEI
Middle Name:
Last Name:LI
Suffix:
Gender:F
Credentials:MD,PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1380 SOLDIERS FIELD RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BRIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135-1023
Mailing Address - Country:US
Mailing Address - Phone:617-254-7284
Mailing Address - Fax:617-254-4116
Practice Address - Street 1:1380 SOLDIERS FIELD RD
Practice Address - Street 2:SUITE 100
Practice Address - City:BRIGHTON
Practice Address - State:MA
Practice Address - Zip Code:02135-1023
Practice Address - Country:US
Practice Address - Phone:617-254-7284
Practice Address - Fax:617-254-4116
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-22
Last Update Date:2008-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA209962207ZD0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZD0900XAllopathic & Osteopathic PhysiciansPathologyDermatopathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0171450Medicaid
MA0171450Medicaid