| Jonathan Li, MD | |
| 19 Bramble Bush Dr, Falmouth, MA 02540-2325 | |
| (508) 540-7555 | |
| Not Available | 
| Full Name | Jonathan Li | 
|---|---|
| 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 | 
|---|---|
| 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 | 
|---|---|
| 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: Not Enrolled in Medicare Practice Location: 19 Bramble Bush Dr, Falmouth, MA 02540 Phone: 508-540-7555 Fax: 508-540-3008 |