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NPI Code Detail

MEDICARE: JIN SUNG LIM MD

MEDICARE:   JIN SUNG 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
1207Y00000XOtolaryngology Physician0101225614VA

General Provider Information

NPI Number : 1386641678
Entity Type Code : Individual
Provider Name (Legal Business Name) : JIN SUNG LIM MD
Provider Business Mailing Address
First Line : PO BOX 36007
Second Line :
City : NORTH CHESTERFIELD
State : VA
Zip : 23235-8000
Country : US
Telephone Number : 804-484-3700
Fax Number : 804-320-6462
Provider Business Practice Location Address
First Line : 161 WADSWORTH DRIVE
Second Line :
City : RICHMOND
State : VA
Zip : 23236-4500
Country : US
Telephone Number : 804-484-3700
Fax Number : 804-320-6462
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2005
Last Update Date : 11/21/2019

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Directions to “ JIN SUNG LIM MD” Practice Location

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