Provider Demographics
NPI:1437572336
Name:ZHENG, LI (PHD)
Entity type:Individual
Prefix:MRS
First Name:LI
Middle Name:
Last Name:ZHENG
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 MANOR AVE
Mailing Address - Street 2:
Mailing Address - City:WELLESLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02482-1024
Mailing Address - Country:US
Mailing Address - Phone:617-817-1910
Mailing Address - Fax:
Practice Address - Street 1:475 HILLSIDE AVE
Practice Address - Street 2:
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02494-1278
Practice Address - Country:US
Practice Address - Phone:781-449-1813
Practice Address - Fax:781-559-3345
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-28
Last Update Date:2014-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA204653171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist