MEDICARE: JINA LIM MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	271821	MA
2	208M00000X	Hospitalist Physician	281981	MA

General Provider Information

NPI Number	:	1164952214
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JINA LIM MD

Provider Business Mailing Address
First Line	:	62 BOYLSTON ST APT 408
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02116-4796
Country	:	US
Telephone Number	:	425-802-6259
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 WASHINGTON ST
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02111-1552
Country	:	US
Telephone Number	:	617-636-5000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2017
Last Update Date	:	02/19/2026

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Directions to “ JINA LIM MD” Practice Location

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